Carol E Moore MD PLLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

34108 Issued in NC

Legal business name

CAROL E MOORE MD PLLC

Practice address

2828B Maplewood Ave
Winston Salem, NC 27103-4138

Phone

(336) 659-9440

NPI assigned

Mar 24, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carol Moore, MD

Title

Director

Phone

(336) 659-9440

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles B Evans, M.D.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Winston Salem, NC
  • NPI 1568410066
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1013379429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828B MAPLEWOOD AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034138",
            "telephone_number": "336-659-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828B MAPLEWOOD AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034138",
            "telephone_number": "336-659-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL E MOORE MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-659-9440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": "34108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "34108",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sally McNeer Carlton
• William Yarborough Carlton, MD
• Curtis Carmack
• M. Lauren Carmichael, MA, CCC-SLP
• Michelle Carmichael
• Carolina Access Life Line, LLC
• Carolina Access Life Line, LLC
• Carolina Classic Senior Care, LLC
• Carolina Counselors, PLLC
• Carolina Diagnostics, Inc.

• All providers in Winston Salem, NC
• Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.