Active NPI
Roger L. Moebus, M.D.,P.a.
- Surgery Physician
- Miami, FL
National Provider Identifier
1912270802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME16263
- Legal business name
- ROGER L. MOEBUS, M.D.,P.A.
- Practice address
- 7825 SW 53Rd CT
Miami, FL 33143-5834 - Phone
- (305) 663-1128
- NPI assigned
- Feb 23, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roger L. Moebus, M.D.
- Title
- President
- Phone
- (305) 663-1128
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME16263 | FL | Primary |
Addresses
Primary practice location
7825 SW 53Rd CT
Miami, FL 33143-5834
Mailing address
7825 SW 53Rd CT
Miami, FL 33143-5834
Phone (305) 663-1128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78476B | Other | MEDICARE P-TAN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329955200000",
"number": "1912270802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7825 SW 53RD CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331435834",
"telephone_number": "305-663-1128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7825 SW 53RD CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331435834",
"telephone_number": "305-663-1128"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROGER L. MOEBUS, M.D.,P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-23",
"last_updated": "2012-02-23",
"status": "A",
"authorized_official_last_name": "MOEBUS",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-663-1128",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "FL",
"license": "ME16263",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE P-TAN",
"identifier": "78476B",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.