MARK S MOORE DO
NPI 1457465429
Radiology - Diagnostic Radiology in Pueblo, CO

Active since August 18, 2006
1008 MINNEQUA AVE, PUEBLO, CO 81004(719) 557-4000(970) 342-2093 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark S Moore Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK S MOORE DO (NPI 1457465429) is an individual diagnostic radiology provider in Pueblo, Colorado, licensed in Missouri (112240) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1457465429
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMARK S MOORECredential: DO
Location Address1008 MINNEQUA AVEPueblo, CO 81004-3733
Mailing AddressPo Box 7693Loveland, CO 80537-0693 · (970) 663-2742 · Fax (970) 342-2093
Fax(970) 342-2093
Sole ProprietorNo
Enumeration DateAugust 18, 2006
Last NPPES UpdateNovember 5, 2020
NPPES CertifiedNovember 5, 2020
NPI 1457465429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in MO · 112240
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1008 MINNEQUA AVE, Pueblo, CO 81004

Other Identifiers 7

Other100180650BOk Caid
Other112240MO · Medical License
Medicaid83787844CO
Other451258Hltlink
Other100343220AKs Caid
Other115634Mo Blue
Medicaid248699902MO

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
1008 MINNEQUA AVE
PUEBLO, CO 81004
Physical Therapy Assistant
1008 MINNEQUA AVE
PUEBLO, CO 81004
Nurse Anesthetist, Certified Registered
1008 MINNEQUA AVE
PUEBLO, CO 81004
Radiology (Radiation Oncology)
1008 MINNEQUA AVE
PUEBLO, CO 81004
Nurse Anesthetist, Certified Registered
1008 MINNEQUA AVE, OR/ANESTHESIOLOGY
PUEBLO, CO 81004
Radiology (Radiation Oncology)
1008 MINNEQUA AVE
PUEBLO, CO 81004
Pharmacy (Community/Retail Pharmacy)
1008 MINNEQUA AVE
PUEBLO, CO 81004
Physical Therapy Assistant
1008 MINNEQUA AVE
PUEBLO, CO 81004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Moore's NPI number?

The NPI number for Mark Moore is 1457465429. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Mark Moore located?

Mark Moore practices at 1008 Minnequa Ave, Pueblo, CO 81004. The listed phone number is (719) 557-4000.

What is Mark Moore's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Mark Moore was last updated on November 5, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.