Colleen Johnson Moore M.D.

  • NPI 1801877923
According to our database, the NPI number for Colleen Johnson Moore M.D. is 1801877923 and activated since 18 years ago. Colleen Johnson Moore M.D. is an individual provider who specializes in Vascular Surgery, and the primary practice location is 619 E Mason St Ste 4p57, Springfield, IL 62701. You can also contact Colleen Johnson Moore M.D. via telephone number is (217) 788-0706. Provider NPI information was last updated on 01/09/2019.

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Overview of Colleen Johnson Moore M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 11/07/2005
  • Last updated: 01/09/2019

Primary Scrop of Practice

  • Taxonomy Code: 2086S0129X
  • Specialty: Vascular Surgery
  • License Number: 036113689
  • License State: IL

Provider Mailing Address

  • Address: 619 E Mason St Ste 4p57
    Springfield, IL 62701
  • Phone: 217-788-0706
  • Fax: 217-525-2535

Provider Practice Location

  • Address: 619 E Mason St Ste 4p57
    Springfield, IL 62701
  • Phone: 217-788-0706
  • Fax: 217-525-2535

Scope of Practice

  • Taxonomy Code: 2086S0129X
  • Specialty: Vascular Surgery
  • License Number: 036113689
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 036113689
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Colleen Johnson Moore M.D.?
  • A: The npi number for Colleen Johnson Moore M.D. is 1801877923.
  • Q: What are Colleen Johnson Moore M.D.'s specialties?
  • A: Colleen Johnson Moore M.D.'s specialties are Vascular Surgery and different specialities.
  • Q: What is the medical license for Colleen Johnson Moore M.D.?
  • A: The medical license number for Colleen Johnson Moore M.D. is 036113689 and issued in IL in USA.
  • Q: Where is Colleen Johnson Moore M.D. practice location?
  • A: Colleen Johnson Moore M.D. is practicing at 619 E Mason St Ste 4p57, Springfield, IL 62701.
  • Q: How to contact Colleen Johnson Moore M.D.?
  • A: You can contact Colleen Johnson Moore M.D. via 217-788-0706.