Organization Active NPI

Carteret Surgery Center PLLC

Doing business as Carteret Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Morehead City, NC
National Provider Identifier
1083695514
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
AS0061 Issued in NC
Legal business name
CARTERET SURGERY CENTER PLLC
Doing business as
Carteret Surgery Center
Practice address
3714 Guardian Ave
Ste W
Morehead City, NC 28557-4322
Phone
(252) 247-0314
Fax
(252) 247-2031
NPI assigned
Nov 10, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeffrey K Moore, MD
Title
Medical Director
Phone
(252) 247-0314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X AS0061 NC Primary

Addresses

Primary practice location

3714 Guardian Ave
Ste W
Morehead City, NC 28557-4322

Mailing address

3714 Guardian Ave
Ste W
Morehead City, NC 28557-4322
Phone (252) 247-0314

Other names 1

  • Carteret Surgery Center Doing business as

National Provider Directory

National Provider Directory

Locations

3714 Guardian Ave
Ste W
Morehead City, NC 28557
Phone (252) 247-0314

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083695514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 GUARDIAN AVE",
            "address_2": "STE W",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574322",
            "telephone_number": "252-247-0314",
            "fax_number": "252-247-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 GUARDIAN AVE",
            "address_2": "STE W",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574322",
            "telephone_number": "252-247-0314",
            "fax_number": "252-247-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERET SURGERY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "252-247-0314",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NC",
            "license": "AS0061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carteret Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.