Jason R. Moore, PA-C
Surgical PA · Lone Tree, CO
UnclaimedPA-CNPI 1831085174
- Primary taxonomy
- 363AS0400X
- Enumerated
- 2025-06-13
- Practice location
- Lone Tree, CO
- Last NPPES update
- 2025-06-13
State licenses
- CO · Physician assistant · NPPES self-reportedListed on NPI record
- CO · Physician assistant · PAActivethrough 2028verify
- CO · Pharmacist · PHAExpiredthrough 2003verify
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.