Mark S Moore, DO
Mark S Moore is a Diagnostic Radiology Physician provider (Radiology) practicing in Pueblo, CO, registered in the NPPES registry with NPI 1457465429 since 2006. The credential DO stands for Doctor of Osteopathic Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1457465429 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mark S Moore |
| Credential | DO |
| Sex | Male |
| Practice address | 1008 MINNEQUA AVE, Pueblo, CO, 81004 |
| Phone | 7195574000 |
| Fax | 9703422093 |
| Enumeration date | 2006-08-18 |
| Last updated in NPPES | 2020-11-05 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2085R0202X | Diagnostic Radiology Physician | Primary | 112240 | MO |
DO — Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100180650B | Other | — | OK CAID |
| 100343220A | Other | — | KS CAID |
| 83787844 | Medicaid | CO | — |
| 451258 | Other | — | HLTLINK |
| 115634 | Other | — | MO BLUE |
| 112240 | Other | MO | MEDICAL LICENSE |
| 248699902 | Medicaid | MO | — |
Copy-ready billing details
Provider: Mark Moore, DO NPI: 1457465429 Taxonomy: 2085R0202X (Diagnostic Radiology Physician) Address: 1008 MINNEQUA AVE, Pueblo, CO, 81004
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1366447922 | Gregory Larsen | Individual | Anesthesiology Physician | Pueblo, CO |
| 1215932868 | Katharine Macaulay | Individual | Anesthesiology Physician | Pueblo, CO |
| 1548265119 | Pablo-Moises Garcia-Perez | Individual | Anesthesiology Physician | Pueblo, CO |
| 1427054816 | Michael Jones | Individual | Certified Registered Nurse Anesthetist | Pueblo, CO |
| 1669470597 | David Smith | Individual | Anesthesiologist Assistant | Pueblo, CO |
| 1962484717 | Danny Ballenger | Individual | Diagnostic Radiology Physician | Pueblo, CO |
| 1568444271 | Pueblo Radiological Group PC | Organization | Radiology Clinic/Center | Pueblo, CO |
| 1437132990 | Sheridan Healthcare of Colorado PC | Organization | Certified Registered Nurse Anesthetist | Pueblo, CO |
Verify this record
Cross-check NPI 1457465429 against the authoritative CMS record: view Mark S Moore on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where does Mark Moore practice?
What is the NPI number for Mark Moore?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-11-05.