DR. SIMON C MOTEN MD NPI 1134113327

NPI Information

NPI: 1134113327
Provider Name: DR. SIMON C MOTEN, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Address:
600 MOYE BLVD
LIFE SCIENCE BUILDING-CARDIOTHORACIC OUTPATIENT CLIN.
GREENVILLE, NC
ZIP 27834
Phone: (252) 744-4822
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DR. Simon C Moten, MD is a vascular surgery surgery in Greenville, NC. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Simon C Moten, MD NPI is 1134113327. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

600 MOYE BLVD
LIFE SCIENCE BUILDING-CARDIOTHORACIC OUTPATIENT CLIN.
GREENVILLE, NC
ZIP 27834-300
Phone: (252) 744-4822
Fax: (252) 744-5192

The enumeration date for this NPI number is 9/2/2005 and was last updated on 9/4/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery		NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	I28392	MEDICARE UPIN	NORTH CAROLINA
2	2039327	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
3	5900771	MEDICAID	NORTH CAROLINA
4	139CY	OTHER	NORTH CAROLINA	BCBS NC

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

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