Charles H Moore, MD PA

Primary specialty

Transplant Surgery PhysicianTaxonomy code 204F00000X

License

D1744 Issued in TX

Legal business name

CHARLES H MOORE, MD PA

Practice address

613 Elizabeth St
Suite 511
Corpus Christi, TX 78404-2220

Phone

(361) 884-0033

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Charles H Moore, MD

Title

President

Phone

(361) 884-0033

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1669508396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 ELIZABETH ST",
            "address_2": "SUITE 511",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042220",
            "telephone_number": "361-884-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 ELIZABETH ST",
            "address_2": "SUITE 511",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042220",
            "telephone_number": "361-884-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES H MOORE, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-884-0033",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Transplant Surgery",
            "state": "TX",
            "license": "D1744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0058MH",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115054205",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whitney Chapman
• Deane S Charba, MD
• Denise Lynn Charlebois, PT
• Stephen Andre Charlebois, PT
• Charles D. Kolb Inc.
• Charles McKenzie
• Charles McKenzie
• Antwine D. Charles Sr., LPC
• Jennifer Charles
• Eva M Charo, NP

• Transplant Surgery Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Transplant Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.