Moss Creek Sport & Spine Institute MRI, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MOSS CREEK SPORT & SPINE INSTITUTE MRI, LLC

Practice address

15 Moss Creek Village
Hilton Head, SC 29926

Phone

(732) 804-2812

NPI assigned

Jun 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. John Robert Gavin Jr., M.D.

Title

Ceo

Phone

(843) 681-5077

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1558598722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 FOX DEN CT",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262561",
            "telephone_number": "732-804-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MOSS CREEK VILLAGE",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "29926",
            "telephone_number": "732-804-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSS CREEK SPORT & SPINE INSTITUTE MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-681-5077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monarch Concierge MD
• Moore Consulting LLC
• Tamatha Lynne Moore
• Thomas Howard Morse, DDS
• Moss Creek Sport & Spine Institute LLC
• Moss Creek Sport & Spine Institute Promp Care, LLC
• Emily Vanburen Mulcahy, PSY D
• Emily Murphy, FNP-C
• Stephanie Noel Roberts Musselman, DPT
• Rachel Neiheisel, DPT

• Diagnostic Radiology Physician in Hilton Head, SC
• Providers in Hilton Head, SC by specialty
• Diagnostic Radiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.