DR. DOUGLAS MATTHEW MOECKEL (NPI# 1164691937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164691937 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS MATTHEW MOECKEL |
| Credential | M.D. |
| Practice Address |
901 E Cheves St Suite 370 Florence SC 29506-2716 |
| Practice Telephone | 8436676229 |
| Mailing Telephone | 8436676229 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2013-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | AS3835571-200701 | MO | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
MD35496 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
901 E CHEVES ST SUITE 370 |
| City | FLORENCE |
| State | SC |
| Zip Code | 29506-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721985 | Deborah Evans Lawrimore | Nurse Practitioner | 901 E Cheves St, Ste 200, Florence, SC 29506-2769 | 2005-06-26 |
| 1598193005 | Sarah E. Collins | Occupational Therapist | 901 E Cheves St, Ste 100, Florence, SC 29506-2716 | 2013-10-18 |
| 1821437799 | Florence Gastroenterology, LLC | Internal Medicine | 901 E Cheves St, Suite 430, Florence, SC 29506-2716 | 2013-06-24 |
| 1184976789 | Mcleod Physician Associates II | Surgery | 901 E Cheves St, Suite 430, Florence, SC 29506-2716 | 2012-10-05 |
| 1306131669 | Lisa Renee Hubbard | Dietitian, Registered | 901 E Cheves St, Suite 400, Florence, SC 29506-2716 | 2011-06-15 |
| 1992024806 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 901 E Cheves St, Ste 200, Florence, SC 29506-2716 | 2010-05-18 |
| 1376862284 | Mcleod Physician Associates II | Registered Nurse | 901 E Cheves St, Suite 420, Florence, SC 29506-2716 | 2010-05-18 |
| 1215255567 | Wendy E. Taylor | Registered Nurse | 901 E Cheves St, Suite 420, Florence, SC 29506-2716 | 2010-05-12 |
| 1295968246 | Philip Lide Gregory | Physical Therapist | 901 E Cheves St, Suite 510, Florence, SC 29506-2716 | 2009-08-25 |
| 1770759706 | Christina Louise Andrew | Internal Medicine | 901 E Cheves St, Suite 510, Florence, SC 29506-2716 | 2008-04-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871001693 | Med Way Ambulance Service, LLC | Ambulance | 1627 E Palmetto St, Florence, SC 29506 | 2018-01-15 |
| 1851810261 | Daijavon Jaquita Mccall | Specialist/Technologist | 1207 Malloy Street, Florence, SC 29506 | 2017-09-18 |
| 1629453873 | Rebecca Diboni | Pharmacist | 501 E Cheves St, Suite D, Florence, SC 29506 | 2015-07-29 |
| 1710365846 | Tiffany Joann Williams | Counselor | 205 Pearl Cir Florence, Sc, SC 29506 | 2015-05-08 |
| 1275925091 | Joe Brice Williamson Jr. | Pharmacist | 501 E. Cheves St., Suite D, Florence, SC 29506 | 2015-03-03 |
| 1528474632 | La'keisha Coker | Dietitian, Registered | 145 E. Cheves St., Florence County Health Department, Florence, SC 29506 | 2014-07-09 |
| 1275948085 | Patrick Kevin Mccarthy | Dietitian, Registered | 145 East Cheves Street, Florence County Health Dept., Florence, SC 29506 | 2014-07-01 |
| 1073931655 | Gwen A Davis | Registered Nurse | 145 E Cheves Street, Sc Dhec Pee Dee Region, Florence, SC 29506 | 2014-04-01 |
| 1205267879 | Jessica Turner | Physical Therapist | 555 E Cheves St., Inpatient Rehab Department, Florence, SC 29506 | 2013-12-09 |
| 1700213923 | Pamela Orange | Nurse's Aide | 2501 Sparklberry Lane, Florence, SC 29506 | 2013-10-02 |
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| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447214317 | J. Thomas Cox Jr. | Pediatrics | Pediatrix Medical Group of Sc, Medical Park East, 901 E. Cheves St. Suite 370, Florence, SC 29506 | 2006-04-17 |
| 1629023437 | Walter Steven Bridges | Pediatrics | 901 E Cheves St, Florence, SC 29506-2716 | 2006-05-23 |
| 1235192212 | Joseph Ellsworth Harlan Jr. | Pediatrics | 901 E Cheves St, Suite 370, Florence, SC 29506-2716 | 2006-04-10 |
| 1144291014 | John Edward Moss Jr. | Pediatrics | 901 E Cheves St, Suite 370, Florence, SC 29506-2716 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366886715 | Katherine Elizabeth Chetta | Pediatrics | 10 Mcclennan Banks Drive Msc915, Charleston, SC 29425-3411 | 2013-04-28 |
| 1053568246 | Shivani Desai | Pediatrics | 10 Sable Glen Dr, Greenville, SC 29615-6739 | 2008-08-19 |
| 1063605905 | William B. Pittard IIi | Pediatrics | 135 Rutledge Ave Rm 286, Charleston, SC 29425 | 2007-08-23 |
| 1871517904 | Rita L. Saldanha | Pediatrics | 224 Beaver Run Ln, Williamston, SC 29697-9400 | 2006-07-26 |
| 1396776225 | Gerald Joseph Ferlauto | Pediatrics | 29 North Academy Street, Greenville, SC 29601-2629 | 2006-07-06 |
| 1598708232 | Catherine Partyka | Pediatrics | 9330 Medical Plaza Dr., Trident Medical Center, Charleston, SC 29406 | 2006-06-13 |
| 1750328936 | Uma M Amarnath | Pediatrics | Palmetto Health Richland Hospital, Lexington Medical Center, Columbia, SC 29203-6849 | 2006-05-31 |
| 1629020441 | Sonia Orellana Cahanap-mercado | Pediatrics | 222 S Herlong Avenue, Rock Hill, SC 29732 | 2006-05-17 |
| 1851343230 | Thomas Frederick Allred | Pediatrics | 101 E Wood St Ste 4014, Spartanburg, SC 29303-3040 | 2006-05-16 |
| 1285696971 | Sharada M Pai | Pediatrics | 209 Timber Ridge Dr, West Columbia, SC 29169-5411 | 2006-04-06 |
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| 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.