DURMAN WILLIAM MOOSE MD NPI 1174635601

NPI Information

  • NPI: 1174635601
  • Provider Name: DURMAN WILLIAM MOOSE, MD
  • Classification: Preventive Medicine - 2083P0011X
  • Specialization: Undersea and Hyperbaric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1601 ABBEY PL
    STE 105
    CHARLOTTE, NC
    ZIP 28209
  • Phone: (704) 512-5360

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NPI Details

Durman William Moose, MD is an undersea and hyperbaric medicine preventive medicine in Charlotte, NC. 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.

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, 20.0 sq cm or less (HCPCS:11042)
  • Removal of skin and tissue, each additional 20.0 sq cm or less (HCPCS:11045)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Removal of skin and tissue, each additional 20.0 sq cm or less (HCPCS:11045)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Physician or allowed practitioner re-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 a (HCPCS:G0179)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Application of chemical to stop tissue regrowth in wound (HCPCS:17250)
  • Physician or allowed practitioner 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 and (HCPCS:G0180)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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