Moses Cone Medical Services Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

AS0052 Issued in NC

Legal business name

MOSES CONE MEDICAL SERVICES INC.

Doing business as

LeBauer Endoscopy Center

Practice address

520 N Elam Ave
Greensboro, NC 27403-1127

Phone

(336) 547-1700

NPI assigned

Jul 18, 2006

Last updated

Sep 30, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

THE MOSES H. CONE MEMORIAL HOSPITALAs reported in NPPES

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

Authorized official

Name

Mr. Robert Lee Goldstein

Title

Executive Vice President

Phone

(336) 832-6250

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• LeBauer Endoscopy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Moses Cone Medical Services, Inc.

  dba Brown Summit Family Medicine

  • Family Medicine Physician
  • Browns Summit, NC
  • NPI 1417383837

  2769395458

  Same PAC ID
• Moses Cone Medical Services, Inc.

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1427095249

  2769395458

  Same PAC ID

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Moses Cone Medical Services, Inc.

  dba Brown Summit Family Medicine

  • Family Medicine Physician
  • Browns Summit, NC
  • NPI 1417383837

  O20140416000469

  Same enrollment
• Moses Cone Medical Services, Inc.

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1427095249

  O20140416000469

  Same enrollment
• Moses Cone Medical Services, Inc.

  dba Western Rockingham Family Medicine

  • Family Medicine Physician
  • Madison, NC
  • NPI 1629376363

  O20140416000469

  Same enrollment

Listed as

Lebauer Endoscopy CenterCCN 34C0001035

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Moses Cone Mem Hosp

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1194744532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405633",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845633",
            "telephone_number": "336-547-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N ELAM AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031127",
            "telephone_number": "336-547-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES CONE MEDICAL SERVICES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MOSES H. CONE MEMORIAL HOSPITAL",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "336-832-6250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NC",
            "license": "AS0052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "00642",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194744532",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LeBauer Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Moses Cone Affiliated Physicians, Inc. (Christopher E. Newman, MD)
• Moses Cone Affiliated Physicians, Inc. (Triad Foot and Ankle Center)
• Moses Cone Affiliated Physicians, Inc. (Femina Women's Center)
• Moses Cone Health System
• Moses Cone Health System
• Moses Cone Medical Services, Inc.
• Moses Cone Medical Services, Inc. (Piedmont Family Medicine)
• Moses Cone Physician Services Inc (Triad Hospitalists)
• Moses Cone Physician Services Inc (Piedmont Orthopedics)
• Moses Cone Physician Services, Inc (Urgent Medical and Family Care Center)

• Ambulatory Surgical Clinic/Center in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Ambulatory Surgical Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.