Progress Weight Loss, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

200400388 Issued in NC

Legal business name

PROGRESS WEIGHT LOSS, PC

Practice address

4207 Lake Boone TRL
Raleigh, NC 27607-6684

Phone

(919) 780-0815

Fax

(919) 781-0816

NPI assigned

Mar 17, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Moran, MD

Title

President

Phone

(919) 781-0815

Specialties & licenses 1

Addresses

Other names 1

• Progress Weight Loss Surgery Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter L Henderson Jr., MD

  • Surgery Physician
  • Chatsworth, GA
  • NPI 1902906084
  NPD (past)

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1942524129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BLUE RIDGE RD",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076474",
            "telephone_number": "919-781-0185",
            "fax_number": "919-780-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 LAKE BOONE TRL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076684",
            "telephone_number": "919-780-0815",
            "fax_number": "919-781-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESS WEIGHT LOSS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-781-0815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": "200400388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progress Weight Loss Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Professional Opticians of Raleigh, Inc.
• Professional Orthotics & Prosthetics, Inc.
• Professional Sports Medicine & Athletic Training Consultant Services,
• Progress Physical Therapy
• Progress Up ABA LLC
• Progressive Healthcare & Counseling Services Inc.
• Progressive Healthcare & Counseling Services Inc.
• Progressive Healthcare & Counseling Services, Inc
• Progressive Healthcare of NC
• Progressive Helathcare & Counseling Services Inc.

• Surgery Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.