Active NPI
Carolyn Marie Moyers, DO
- Obstetrics & Gynecology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- N6513
- Practice address
- 1125 S Henderson St
Fort Worth, TX 76104-4464 - Phone
- (817) 915-9803
- Fax
- (817) 918-7877
- NPI assigned
- Oct 14, 2007
- Last updated
- Nov 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 256976 | NY | |
| Obstetrics & Gynecology Physician | 207V00000X | 4192 | WV | |
| Obstetrics & Gynecology Physician | 207V00000X | N6513 | TX | Primary |
Addresses
Primary practice location
1125 S Henderson St
Fort Worth, TX 76104-4464
Mailing address
1125 S Henderson St
Fort Worth, TX 76104-4464
Phone (817) 915-9803
Other practice location 1
66 Hospital Plz Ste 103
Weston, WV 26452-8595
Phone (304) 269-3108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 215717401 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of North Texas HSC, College of Osteopathic Med, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1200 J D Anderson Dr
Morgantown, WV 26505-3486
1200 J D Anderson Dr
Morgantown, WV 26505-3494
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 69.71
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 256976 | NY | MD | Obstetrics & Gynecology Physician |
| N6513 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faron Group PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg Texas Holdings, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Stonewall Jackson Memorial Hospital Company | Current | Accepting new patients | |
| Pediatrix Medical Group of Texas Billing, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Stonewall Jackson Memorial Hospital Company | Current | Accepting new patients | |
| Questcare Obstetrics PLLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Baylor St. Luke's Medical Group | Past | Accepting new patients |
Locations
3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200
800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000
5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000
18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
17201 Interstate 45 S
The Woodlands, TX 77385
Phone (936) 270-2000
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000
66 Hospital Plz
Ste 103
Weston, WV 26452
Phone (304) 269-3108
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHGJCD/Endpoint/IHGJCD
- https://fhir4.healow.com/fhir/r4/JIHBCA
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Fort Worth, TX
- NPI 1083008536
-
- Obstetrics & Gynecology Physician
- Austin, TX
- NPI 1083917769
-
- Neonatal-Perinatal Medicine Physician
- Houston, TX
- NPI 1649377359
Obstetrics & Gynecology
-
- Rural Acute Care Hospital
- Weston, WV
- NPI 1477559433
-
dba Weston Orthopedic and Sports Medicine Center
- Orthopaedic Surgery Physician
- Weston, WV
- NPI 1922392851
-
- Internal Medicine Physician
- The Woodlands, TX
- NPI 1740485879
-
- Obstetrics & Gynecology Physician
- Plano, TX
- NPI 1184897159
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Weston, WV
- NPI 1477559433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1952599037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 S HENDERSON ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044464",
"telephone_number": "817-915-9803",
"fax_number": "817-918-7877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 S HENDERSON ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044464",
"telephone_number": "817-915-9803",
"fax_number": "817-918-7877"
}
],
"practiceLocations": [
{
"address_1": "66 Hospital Plz Ste 103",
"address_purpose": "LOCATION",
"city": "Weston",
"state": "WV",
"postal_code": "264528595",
"country_code": "US",
"telephone_number": "304-269-3108",
"fax_number": "304-269-3109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOYERS",
"first_name": "CAROLYN",
"middle_name": "MARIE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-14",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "256976",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WV",
"license": "4192",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "N6513",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "215717401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.