Moore County Anesthesia Associates Dr Joseph B Wicker

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

26166 Issued in NC

Legal business name

MOORE COUNTY ANESTHESIA ASSOCIATES DR JOSEPH B WICKER

Practice address

155 Memorial Dr
Pinehurst, NC 28374-8710

Phone

(910) 295-2920

Fax

(910) 295-4640

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Beaman Wicker, MD

Title

President

Phone

(910) 295-2920

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1386827251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CANTER LN",
            "address_2": "PO BOX 5249",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748666",
            "telephone_number": "910-295-2920",
            "fax_number": "910-295-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MEMORIAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748710",
            "telephone_number": "910-295-2920",
            "fax_number": "910-295-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE COUNTY ANESTHESIA ASSOCIATES DR JOSEPH B WICKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "WICKER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "BEAMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-295-2920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "26166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050085497",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8987269",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q26166",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "2322696",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andy Montanez
• Joyia Montanez, FNP
• Rebecca Montouth
• Jeffery Moody II, DC
• Matthew Patrick Mooney, PA-C
• Farrah Ritter Moore, FNP-C
• Hannah Kristan Moore, PA-C
• John R Moore IV, M.D.
• Lacey Floyd Moore Jr., M.D.
• Lesley Harrington Moore, PT

• Anesthesiology Physician in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Anesthesiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.