Organization Active NPI

Phil Moyer MD PLLC

  • Surgery Physician
  • Duncan, OK
National Provider Identifier
1710922174
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
22001 Issued in OK
Legal business name
PHIL MOYER MD PLLC
Practice address
2120 W Elk Ave
Suite 4
Duncan, OK 73533-1500
Phone
(580) 255-9797
Fax
(580) 255-9826
NPI assigned
Jun 19, 2006
Last updated
Nov 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Phil Moyer
Title
Managing Member
Phone
(580) 255-9797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 22001 OK Primary

Addresses

Primary practice location

2120 W Elk Ave
Suite 4
Duncan, OK 73533-1500

Mailing address

2120 W Elk Ave
Suite 4
Duncan, OK 73533-1500
Phone (580) 255-9797

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1710922174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 W ELK AVE",
            "address_2": "SUITE 4",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331500",
            "telephone_number": "580-255-9797",
            "fax_number": "580-255-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 W ELK AVE",
            "address_2": "SUITE 4",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331500",
            "telephone_number": "580-255-9797",
            "fax_number": "580-255-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHIL MOYER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "MOYER",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "580-255-9797"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "22001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.