Mr. Matthew Morgan Moake

Pediatric Emergency Medicine | Male

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Complete Profile:

Mr. Matthew Morgan Moake basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	Mr. Matthew Morgan Moake
Gender :	Male

Business Address:

Mr. Matthew Morgan Moake address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	171 Ashley Ave Charleston, SC, 29425-2106 United States
Phone Number :	843-792-0269

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1073958120
NPI Entity Type :	Individual
First Enrolment Date :	02 May, 2013
Last Updated On :	14 Dec, 2020

Medicare Participation:

Mr. Matthew Morgan Moake participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0941424543
Medicare Enrollment ID :	I20180514001755
Primary Specialty :	Pediatric Medicine
Medical School :	Johns Hopkins University School Of Medicine
Graduation Year :	2014
Accepts Medicare?	Yes. Mr. Matthew Morgan Moake accepts medicare insurance.

Group Practice Association:

Mr. Matthew Morgan Moake is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mr. Matthew Morgan Moake is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Medical Associates	6305758574	1198	171 Ashley Ave Charleston, SC - 294258908 Ph: 8437921414	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Matthew Morgan Moake are as mentioned. Primary taxonomy code for Mr. Matthew Morgan Moake is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	39233	SC
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	39233	SC
390200000X	Student in an Organized Health Care Education/Training Program	No

Legacy Identifiers:

Other legacy medical identifiers of Mr. Matthew Morgan Moake such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
39233	Other	SC	SC LLR

Other Practice Locations:

Practice Address	City, State	Phone Number
135 RUTLEDGE AVE, MSC 561, MEDICAL UNIVERSITY OF SOUTH CAROLINA CHARLESTON, SC, 29425-2106 United States	CHARLESTON, SC	843-792-0269

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 751461 Charlotte, NC, 28275-1461 United States
Phone Number :	843-792-6200

Business Location:

Patients can refer following map for directions to Mr. Matthew Morgan Moake practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.