Durman William Moose Jr., MD

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X

License

32543 Issued in NC

Practice address

1601 Abbey PL
Ste 105
Charlotte, NC 28209-3835

Phone

(704) 512-5360

Fax

(704) 512-5080

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carolina Bone & Joint PA

  • Rheumatology Physician
  • Charlotte, NC
  • NPI 1619030079
  NPD (past)
• Carolina Hand Center, PA

  • Surgery of the Hand (Surgery) Physician
  • Charlotte, NC
  • NPI 1598858250
  NPD (past)
• Carolina Bone & Joint PA

  • Orthopaedic Surgery Physician
  • Irmo, SC
  • NPI 1699261917
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1174635601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78030",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282717023",
            "telephone_number": "704-458-9431",
            "fax_number": "704-844-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ABBEY PL",
            "address_2": "STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093835",
            "telephone_number": "704-512-5360",
            "fax_number": "704-512-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOSE",
        "first_name": "DURMAN",
        "middle_name": "WILLIAM",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "32543",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "NC",
            "license": "32543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N32543",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8960533",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Ragn Moorhead, NP
• Ryan Louis Moorhouse, PA
• Claude Thurman Moorman, MD
• Mary Katherine Moorman, RPH
• Moose Hand Center, PLLC
• Ezreal Shantez Moose
• Moovement Patent Transport, LLC
• Amy Julissa Morales, RBT
• Kevin Morales, PTA
• Makayla Morales

• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.