Active NPI
Mark Sanders Moskowitz, M.D.
- Surgery Physician
- Gastonia, NC
National Provider Identifier
1295791374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 00-24020
- Practice address
- 1089 X Ray Dr
Gastonia, NC 28054-7489 - Phone
- (704) 864-8377
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 00-24020 | NC | Primary |
Addresses
Primary practice location
1089 X Ray Dr
Gastonia, NC 28054-7489
Mailing address
1089 X Ray Dr
Gastonia, NC 28054-7489
Phone (704) 864-8377
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 256264 | Other | NC | MAMSI |
| 61169 | Other | NC | BCBS |
| 4451102 | Other | NC | AETNA/USHC |
| 0082390-002 | Other | NC | CIGNA |
| 011610 | Other | NC | PARTNERS |
| 17-41477 | Other | NC | UNITED HEALTHCARE |
| 2029701 | Other | NC | AETNA/USHC HMO |
| 8961169 | Medicaid | NC | |
| 28449 | Other | NC | MEDCOST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00-24020 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Surgery PA | Surgery | Past | Accepting new patients |
| CS CMG LLC | Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Surgery Physician
- Gastonia, NC
- NPI 1245296490
-
- Surgery Physician
- Gastonia, NC
- NPI 1780909028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242864000000",
"number": "1295791374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1089 X RAY DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280547489",
"telephone_number": "704-864-8377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1089 X RAY DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280547489",
"telephone_number": "704-864-8377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSKOWITZ",
"first_name": "MARK",
"middle_name": "SANDERS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2009-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "00-24020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "256264",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "61169",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/USHC",
"identifier": "4451102",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0082390-002",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "011610",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "17-41477",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/USHC HMO",
"identifier": "2029701",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8961169",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "28449",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.