Charles E Moss (NPI# 1497860936, PAC ID# 8628968757) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1497860936 |
| PAC ID by PECOS | 8628968757 |
| Professional Enrollment ID | I20040319001080 |
| Full Name | Charles E Moss |
| Organization Legal Name | SUMTER UROLOGICAL LLC |
| Address |
410 W Wesmark Blvd Sumter SC 29150-1983 |
| Phone Number | 8034694402 |
| Gender | M |
| Credential | MD |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 6608950712 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420070 | TUOMEY HEALTHCARE SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 410 W Wesmark Blvd, Sumter, SC 29150-1983 | 8034694402 | SUMTER UROLOGICAL LLC |
| Organization Legal Name | SUMTER UROLOGICAL LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert E Lee | Urology | Sumter Urological LLC | 410 W Wesmark Blvd, Sumter, SC 29150-1983 |
| Street Address |
410 W WESMARK BLVD |
| City | SUMTER |
| State | SC |
| Zip | 29150-1983 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert E Lee | Urology | Sumter Urological LLC | 410 W Wesmark Blvd, Sumter, SC 29150-1983 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Niaya Mccleave | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Stacey Kelso | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Karly M Yarnish | Occupational Therapy | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Myra Cooke | Qualified Speech Language Pathologist | Functional Pathways Preferred of Tennessee LLC | 2825 Carter Rd, Sumter, SC 29150-1712 |
| Sharon T Johnson | Nurse Practitioner | Agape Senior Primary Care Inc | 1180 Wilson Hall Rd, Sumter, SC 29150-1738 |
| Harry A Jordan Jr. | Internal Medicine | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| James R Mcmahon | Nurse Practitioner | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Ansel Rose Mcfaddin Iii | Internal Medicine | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Katherine A Coffey | Physician Assistant | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Emily J Miller | Physician Assistant | Mcleod Physician Associates II | 1295 Wilson Hall Rd, Sumter, SC 29150-1804 |
| Find all physicians in zip 29150 | |||
| City | SUMTER |
| Zip Code | 29150 |
| Specialty | UROLOGY |
| City + Specialty | SUMTER + UROLOGY |
Please comment or provide details below to improve the information on Charles E Moss.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.