Carolyn C Moats, M.D. PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

074827 Issued in MI

Legal business name

CAROLYN C MOATS, M.D. PLC

Practice address

207 Circle Dr
Traverse City, MI 49684-2347

Phone

(231) 933-8805

Fax

(231) 933-8872

NPI assigned

Jan 19, 2008

Last updated

Feb 1, 2008By 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

Penny Starkey

Title

Biller

Phone

(231) 933-8805

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1200700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1447436480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 CIRCLE DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842347",
            "telephone_number": "231-933-8805",
            "fax_number": "231-933-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 CIRCLE DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842347",
            "telephone_number": "231-933-8805",
            "fax_number": "231-933-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN C MOATS, M.D. PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-19",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "STARKEY",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "231-933-8805"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "074827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4678167",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0802810481",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David J Carlisle, DDS
• James Joseph Carlisle, DPT
• Sadie Marie Carlson, BEHAVIOR TECHNICIAN
• Robert E Carmody, M.D.
• Anthony D Carolan, LMSW
• James Denzel Carpenter, RPH
• Kyle Andrew Carr, MD
• Joshua Carrell
• Mark Steven Carrier, NP
• Kylie Carriere

• Family Medicine Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.