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DURMAN WILLIAM MOOSE MD NPI 1174635601


NPI Information

NPI: 1174635601
Provider Name: DURMAN WILLIAM MOOSE, MD
Classification: Preventive Medicine - 2083P0011X
Entity Type: Individual

Specialization: Undersea and Hyperbaric Medicine

PECOS Registration: Yes

Address:
1601 ABBEY PL
STE 105
CHARLOTTE, NC
ZIP 28209
Phone: (704) 512-5360
Get Directions

Durman William Moose, MD is an undersea and hyperbaric medicine preventive medicine in Charlotte, NC with 42 years of experience. The provider is a specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. Durman William Moose, MD NPI is 1174635601. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1982

The provider's business location address is:

1601 ABBEY PL
STE 105
CHARLOTTE, NC
ZIP 28209-835
Phone: (704) 512-5360
Fax: (704) 512-5080

The NPI 1174635601 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Management and supervision of oxygen chamber therapy per session (HCPCS:99183)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • Removal of skin and tissue (HCPCS:11045)
  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implem (HCPCS:G0180)

The enumeration date for this NPI number is 8/31/2006 and was last updated on 11/9/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery32543NORTH CAROLINANo
22083P0011XPreventive MedicineUndersea and Hyperbaric Medicine32543NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C89350MEDICARE UPINNORTH CAROLINA
2208994BMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
3N32543MEDICAIDSOUTH CAROLINA
48960533MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.