Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shawn E Moore, MD

Individual provider Surgery Physician · NPI 1396205605

Dr. Shawn E Moore, MD is a General Surgery in Columbus, Ohio. Graduated from University of Missouri, Columbia School of Medicine in 2019, 7 years ago. Practices with Lutheran Hospital Association of the San Luis Valley, a 150-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
7
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
CO
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Grant Medical Center Surgical Critical Care 393 E Town St #116
Columbus, OH 43215
Phone: (614) 566-9108
Fax: (614) 566-9110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 601 E Rollins St, Orlando, FL 32803-1248 — (407) 303-6611
  • Grant Medical Center Surgical Critical Care, Columbus, OH 43215 — (614) 566-9108

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence DR.0075847 (CO)

Record details

NPI number1396205605
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2019
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing address393 E. Town St., 116, Columbus, OH 43215

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Lutheran Hospital Association Of The San Luis Valley — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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