Carolina Urology PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CAROLINA UROLOGY PA

Practice address

2604 N Elm St
Lumberton, NC 28358-3011

Phone

(910) 739-6364

NPI assigned

Oct 19, 2010

Last updated

Jun 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Alan Moses, MD

Title

President

Phone

(910) 739-6364

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1407166812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 LAUCHWOOD DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525502",
            "telephone_number": "910-610-1113",
            "fax_number": "910-610-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 N ELM ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583011",
            "telephone_number": "910-739-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA UROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-739-6364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790110W",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0110W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Infectious Diseases Consultants PC
• Carolina Professional Medical Supplies
• Carolina Professional Mental Health
• Carolina Professional Mental Health Associates, Inc.
• Carolina Respicare Pharmacy,Inc
• Alesia Renee Carr, LPC-A
• Zachary Joseph Carriker, MD
• Carter Clinic, P a
• Latisha Fay Carter-Chavis, LCASA
• Chiara Lynn Carter, PA-C

• Specialist in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.