NPIMap

Organization Active NPI

Carolina Center for Fertility & Endocrinology, PA

  • Reproductive Endocrinology Physician
  • Columbia, SC
National Provider Identifier
1730354259
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
10002 Issued in SC
Legal business name
CAROLINA CENTER FOR FERTILITY & ENDOCRINOLOGY, PA
Practice address
1410 Blanding St
Suite 205
Columbia, SC 29201-2967
Phone
(803) 779-6320
Fax
(803) 779-6323
NPI assigned
Apr 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Dr. Edward E. Moore, M.D.
Title
Owner
Phone
(803) 779-6320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X 10002 SC Primary

Addresses

Primary practice location

1410 Blanding St
Suite 205
Columbia, SC 29201-2967

Mailing address

1410 Blanding St
Suite 205
Columbia, SC 29201-2967
Phone (803) 779-6320

National Provider Directory

National Provider Directory

Locations

1410 Blanding St
Ste 205
Columbia, SC 29201
Phone (803) 779-6320

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1730354259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 BLANDING ST",
            "address_2": "SUITE 205",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012967",
            "telephone_number": "803-779-6320",
            "fax_number": "803-779-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 BLANDING ST",
            "address_2": "SUITE 205",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012967",
            "telephone_number": "803-779-6320",
            "fax_number": "803-779-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CENTER FOR FERTILITY & ENDOCRINOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-779-6320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "SC",
            "license": "10002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.