MOORE SURGICAL AND WOMEN'S HEALTHCARE ASSOCIATES, PA (NPI# 1831175694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831175694 |
| Entity Type | Organization |
| Organization Name | MOORE SURGICAL AND WOMEN'S HEALTHCARE ASSOCIATES, PA |
| Practice Address |
990 Ribaut Rd Suite 102 Beaufort SC 29902-5601 |
| Practice Telephone | 8435241522 |
| Practice Fax Number | 8435244367 |
| Mailing Telephone | 8435241522 |
| Mailing Fax Number | 8435244367 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2009-09-22 |
| Authorized Official Name | RALPH E MOORE III (CO-OWNER) |
| Authorized Official Telephone | 8435241522 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP1766 | 05 |
| Street Address |
990 RIBAUT RD SUITE 102 |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29902-5601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710533617 | Joseph P Trpcic | Physical Therapist | 990 Ribaut Rd, Beaufort, SC 29902-8011 | 2019-08-15 |
| 1841854841 | Mary Kathryn Benedict | Physical Therapist | 990 Ribaut Rd, Beaufort, SC 29902-8011 | 2019-04-24 |
| 1922557537 | Shanae White | Dietitian, Registered | 990 Ribaut Rd, Beaufort, SC 29902-8011 | 2016-09-23 |
| 1285001834 | Kimberly Edwards | Dietitian, Registered | 990 Ribaut Rd, Beaufort, SC 29902-8011 | 2015-08-31 |
| 1477920015 | Kassie Nicknadarvich | Dietitian, Registered | 990 Ribaut Rd, Beaufort, SC 29902-8011 | 2015-08-31 |
| 1194129965 | Bailee Kennedy | Physical Therapist | 990 Ribaut Rd, Beaufort, SC 29902-8011 | 2014-10-22 |
| 1871891184 | Jennifer Hill Craft | Dietitian, Registered | 990 Ribaut Rd, Beaufort, SC 29902-8011 | 2011-03-10 |
| 1558597468 | Susan L Mastromauro | Physical Therapist | 990 Ribaut Rd, Beaufort Memorial Hospital, Beaufort, SC 29902-8011 | 2009-06-05 |
| 1528182417 | Kelly Lynn Mccombs | Dietitian, Registered | 990 Ribaut Rd, Lifefit Diabetes Center, Beaufort, SC 29902-8011 | 2007-03-18 |
| 1447291828 | Coastal Cardiovascular Clinic | Internal Medicine | 990 Ribaut Rd, Suite 102, Beaufort, SC 29902-5601 | 2006-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
| 1417509530 | Andrew Grant Miner | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 | 2019-07-09 |
| 1376029777 | Edward Dela Fuente | Counselor | Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 | 2018-07-18 |
| 1114440419 | Kristin Webb | Registered Nurse | 607 Wilmington Street, Beaufort, SC 29902 | 2017-07-19 |
| 1326582081 | Annemarie Gierling Gault | Nurse Practitioner | Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 | 2016-12-14 |
| 1114396579 | Jacquelyn Faith Proulx | Dentist | 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 | 2015-09-16 |
| 1386028413 | Howard Family Dental - Beaufort, Pllc | Dentist | 35 Robert Smalls Pkwy, Beaufort, SC 29902 | 2015-07-18 |
| 1598018103 | Lisa Marie Johnson | Occupational Therapist | 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 | 2012-10-19 |
| 1134497860 | Jeremy Michael Simmons | Pharmacist | 2127 Boundary Street, Suite 19, Beaufort, SC 29902 | 2011-12-08 |
| Find all providers in zip 29902 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801217831 | Shardae Bartley | Specialist | 301 Carteret St, Beaufort, SC 29902-5525 | 2013-12-17 |
| 1619248317 | Beaufort County Memorial Hospital | Specialist | 990 Ribaut Rd Ste 210, Beaufort, SC 29902-8011 | 2012-01-26 |
| 1336462894 | Cynthia Allison-simpkins | Specialist | 90 Marsh Dr, Beaufort, SC 29907-1354 | 2010-03-11 |
| 1346474996 | Beaufort County Memorial Hospital | Specialist | Beaufort Memorial Surgical Specialists, 989 Ribaut Rd, Ste 360, Beaufort, SC 29902-5427 | 2009-05-12 |
| 1417008459 | Beaufort Gastroenterology | Specialist | 989 Ribaut Rd Ste 300, Beaufort, SC 29902-5426 | 2007-01-16 |
| 1477618189 | Coastal Obstetrics and Gynecology | Specialist | 13 Marshellen Drive, Beaufort, SC 29902 | 2006-12-22 |
| 1275618332 | Palmetto Pain Center Pa | Specialist | 41 Marshellen Dr, Suite A, Beaufort, SC 29902-6900 | 2006-10-26 |
| 1154365575 | Evan C Reese Jr. | Specialist | 1251 B Ribaut Rd, Beaufort, SC 29902 | 2006-06-15 |
| 1285673327 | James A Swenson | Specialist | Beaufort Memorial Lowcountry Medical Group, 300 Midtown Drive, Beaufort, SC 29906-5200 | 2006-06-05 |
| 1205888765 | Karen Michelle Eller | Specialist | 41a Marshellen Dr, Palmetto Pain Pa, Beaufort, SC 29902-6900 | 2006-05-16 |
| Find all providers in BEAUFORT | ||||
Please comment or provide details below to improve the information on MOORE SURGICAL AND WOMEN'S HEALTHCARE ASSOCIATES, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.