Healthcare Provider Details

I. General information

NPI: 1649481391
Provider Name (Legal Business Name): ANNE SCHOLL MOORE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13123 16TH AVE, NW
AURORA CO
80045
US

IV. Provider business mailing address

10272 E DEMOCRAT ROAD
PARKER CO
80134
US

V. Phone/Fax

Practice location:
  • Phone: 720-777-6004
  • Fax:
Mailing address:
  • Phone: 720-236-5079
  • Fax: 303-805-0225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35144365
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0093160
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2024-00312
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberD0093160
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number35.144365
License Number StateOH
# 6
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number21074
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: