DR. CHARLES MOSS (NPI# 1497860936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497860936 |
| Entity Type | Individual |
| Full Name | DR. CHARLES MOSS |
| Credential | M.D. |
| Practice Address |
410 W Wesmark Blvd Sumter SC 29150-1983 |
| Practice Telephone | 8034694402 |
| Practice Fax Number | 8034694473 |
| Mailing Telephone | 8034694402 |
| Mailing Fax Number | 8034694473 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2008-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 16687 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 166876 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730565755 | Charles Esmond Moss | Pharmacist | 3171 District Avenue, Charlottesville, VA 22901-2784 | 2015-07-31 |
| 1962486829 | Charles Joseph Moss IIi | Nurse Anesthetist, Certified Registered | 715 N Weber St, Colorado Springs, CO 80903-1091 | 2005-12-05 |
| 1629228358 | Charles S. Moss | Pharmacist | 409 Mulberry Ave, Selmer, TN 38375-2307 | 2008-09-30 |
| 1841447406 | Charles Harrelson Moss IIi | Nurse Practitioner | 1825 Hurlburt Rd Ste 14, Fort Walton Beach, FL 32547-3737 | 2008-08-25 |
| 1215055207 | Charles Allen Moss | Family Medicine | 8950 Villa La Jolla Drive, A217, La Jollaa, CA 92037-1711 | 2007-03-27 |
| 1134274582 | Charles M Moss | Surgery | 240 Williamson St, Suite 104, Elizabeth, NJ 07202-3674 | 2007-01-24 |
| 1144259672 | Charles A Moss | Pediatrics | 95 Seaboard Ln, Suite 201, Brentwood, TN 37027-3031 | 2006-06-30 |
| Street Address |
410 W WESMARK BLVD |
| City | SUMTER |
| State | SC |
| Zip Code | 29150-1983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457466906 | Robert Lee | Urology | 410 W Wesmark Blvd, Sumter, SC 29150-1983 | 2006-08-21 |
| 1164537635 | Sumter Urological, LLC | Anesthesiology | 410 W Wesmark Blvd, Sumter, SC 29150-1983 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174152557 | Stacey Delene Mcconico | Adult Companion | 201 East Liberty Street, Sumter, SC 29150 | 2020-04-07 |
| 1780227942 | Add Light Home Care LLC | In Home Supportive Care | 698-s Bultman Dr, Suite C-8, Sumter, SC 29150 | 2019-10-21 |
| 1770044075 | Kimberly A Weeks | Technician, Other | 5 E Liberty Street, Sumter, SC 29150 | 2019-03-28 |
| 1689155103 | Chrishena E Craig | Social Worker | 801 N. Pike West, Sumter, SC 29150 | 2018-08-23 |
| 1093200735 | Michael B Coseo | Dietitian, Registered | 1278 N. Lafayette Drive, Sumter, SC 29150 | 2018-06-26 |
| 1790287258 | Keever Murdaugh | Physical Therapy Assistant | 1018 North Guignard Drive, Sumter, SC 29150 | 2018-03-01 |
| 1679094643 | James D Pearson | Emergency Medical Technician, Basic | 9b Willow Drive, Sumter, SC 29150 | 2017-06-29 |
| 1245771781 | Shanekia Littles | In Home Supportive Care | 251 Rast St Unit D-1, Sumter, SC 29150 | 2017-03-16 |
| 1326590415 | Believe In Faith Home Care | In Home Supportive Care | 410 W Liberty St Suite 102, Sumter, SC 29150 | 2016-10-25 |
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| Find all providers in zip 29150 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912368457 | Urology Clinic, Inc. | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150 | 2016-03-11 |
| 1285800615 | Sumter Urological Associates | Urology | 410 W. Wesmark Blvd, Sumter, SC 29150-1983 | 2008-05-06 |
| 1811002371 | Vijay Paul Pinto | Urology | 1285 Wilson Hall Road, Sumter, SC 29150 | 2006-08-21 |
| 1417556846 | Brittney Hawkins | Urology | 1285 Wilson Hall Rd, Sumter, SC 29150-1804 | 2020-10-17 |
| 1326699885 | Mcleod Physician Associates II | Urology | 540 Physicians Ln, Sumter, SC 29150-3370 | 2019-09-26 |
| 1356431589 | Kelly Elizabeth Maloney | Urology | 540 Physicians Ln, Sumter, SC 29150 | 2006-10-16 |
| 1457466906 | Robert Lee | Urology | 410 W Wesmark Blvd, Sumter, SC 29150-1983 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393098 | Christopher William Ritchie | Urology | 135 Rutledge Ave Fl 5, Charleston, SC 29425-8903 | 2019-06-05 |
| 1780248211 | Spartanburg Medical Center | Urology | 2755 S Highway 14 Ste 2050a, Greer, SC 29650-4902 | 2019-04-30 |
| 1609345982 | Spartanburg Medical Center | Urology | 1552 N Limestone St Ste A, Gaffney, SC 29340-4750 | 2018-11-16 |
| 1942775952 | Roper Saint Francis Physicians Network | Urology | 300 Callen Blvd Ste 220, Summerville, SC 29486-2809 | 2018-10-05 |
| 1790131522 | Urology Clinic At Carolinas | Urology | 1594 Freedom Blvd Ste 203, Florence, SC 29505-6046 | 2016-05-11 |
| 1154700367 | Gregory Slachta | Urology | 407 Broadview Dr, Ridgeland, SC 29936-5157 | 2015-05-20 |
| 1467893404 | Robert Strehlow Vi | Urology | 391 Serpentine Dr Ste 500, Spartanburg, SC 29303-3083 | 2013-07-06 |
| 1326487588 | Tracy Jon Tipton | Urology | 125 Doughty St Ste 300, Charleston, SC 29403 | 2013-06-21 |
| 1790121424 | Philip Andre Fontenot Jr. | Urology | 50 Bear Dr, Greenville, SC 29605 | 2013-05-21 |
| 1679828750 | Thomas Alexander Kirkland Jr. | Urology | 2 Ladson St, Apt. A, Charleston, SC 29401-2757 | 2012-07-16 |
| Find all providers with the same taxonomy | ||||
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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.