NPIMap

Organization Active NPI

Charles H Moorefield III MD PA

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1740402999
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0040364 Issued in FL
Legal business name
CHARLES H MOOREFIELD III MD PA
Practice address
701 E Michigan St
Orlando, FL 32806-4623
Phone
(407) 843-8300
Fax
(407) 843-6103
NPI assigned
May 3, 2007
Last updated
Jul 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Charles H Moorefield III, M.D.
Title
President
Phone
(407) 843-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 0040364 FL Primary

Addresses

Primary practice location

701 E Michigan St
Orlando, FL 32806-4623

Mailing address

701 E Michigan St
Orlando, FL 32806-4623
Phone (407) 843-8300

National Provider Directory

National Provider Directory

Locations

701 E Michigan St
Orlando, FL 32806
Phone (407) 843-8300

Practitioners & affiliated clinicians

Practitioners 3

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1740402999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064623",
            "telephone_number": "407-843-8300",
            "fax_number": "407-843-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064623",
            "telephone_number": "407-843-8300",
            "fax_number": "407-843-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES H MOOREFIELD III MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "MOOREFIELD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-843-8300",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "0040364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.