NPIMap

Organization Active NPI

U.S. Marine Corps Forces Command

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Camp Lejeune, NC
National Provider Identifier
1699987438
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
License
MD-6125 Issued in HI
Legal business name
U.S. MARINE CORPS FORCES COMMAND
Practice address
CLR-27, 2D MLG, PSC Box 20125
BLDG 308, Holcolm Blvd.
Camp Lejeune, NC 28542
Phone
(910) 450-6672
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Scott Moeller, MD
Title
Group Surgeon, 2D Marine Log GRP
Phone
(910) 450-6672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X MD-6125 HI Primary

Addresses

Primary practice location

CLR-27, 2D MLG, PSC Box 20125
BLDG 308, Holcolm Blvd.
Camp Lejeune, NC 28542

Mailing address

Health Services Support 1468 Ingram St
Norfolk, VA 23551-2596
Phone (757) 836-1685

National Provider Directory

National Provider Directory

Locations

1468 Ingram St
Norfolk, VA 23551
Phone (757) 836-1685

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699987438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HEALTH SERVICES SUPPORT 1468 INGRAM ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235512596",
            "telephone_number": "757-836-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLR-27, 2D MLG, PSC BOX 20125",
            "address_2": "BLDG 308, HOLCOLM BLVD.",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "28542",
            "telephone_number": "910-450-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. MARINE CORPS FORCES COMMAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOELLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "GROUP SURGEON, 2D MARINE LOG GRP",
        "authorized_official_telephone_number": "910-450-6672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": "HI",
            "license": "MD-6125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Lejeune, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.