Active NPI
Richard Emil Moretz, MD
- Surgery Physician
- Spartanburg, SC
National Provider Identifier
1780639591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 9068
- Practice address
- 333 S Pine St
Spartanburg, SC 29302-2622 - Phone
- (864) 591-1664
- Fax
- (864) 577-0620
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 9068 | SC | Primary |
Addresses
Primary practice location
333 S Pine St
Spartanburg, SC 29302-2622
Mailing address
1 Independence PT Ste 212
Greenville, SC 29615-4536
Phone (864) 797-6174
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 576007863153 | Other | SC | BCBS OF SC |
| 90680 | Medicaid | SC | |
| P00676412 | Other | SC | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Health System | Past | Accepting new patients | |
| Mary Black Health System, LLC | Surgery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Simpsonville, SC
- NPI 1679992838
-
- Durable Medical Equipment & Medical Supplies
- Spartanburg, SC
- NPI 1053428631
Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542758400000",
"number": "1780639591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INDEPENDENCE PT STE 212",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154536",
"telephone_number": "864-797-6174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 S PINE ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293022622",
"telephone_number": "864-591-1664",
"fax_number": "864-577-0620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORETZ",
"first_name": "RICHARD",
"middle_name": "EMIL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2018-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "9068",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF SC",
"identifier": "576007863153",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90680",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00676412",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.