| Dr Ryan Thomas Moore, MD | |
| 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | |
| (252) 847-4378 | |
| (252) 847-9943 | 
| Full Name | Dr Ryan Thomas Moore | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Neonatal-perinatal Medicine | 
| Location | 2100 Stantonsburg Rd, Greenville, North Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1063493880 | NPI | - | NPPES | 
| 19CN7 | Other | NC | BCBS NC | 
| 1063493880 | Medicaid | NC | 
| Entity Name | East Carolina University | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1972551919 PECOS PAC ID: 0244143246 Enrollment ID: O20031106000400 | 
| Entity Name | Carteret County General Hospital Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760479331 PECOS PAC ID: 7517877517 Enrollment ID: O20041118000891 | 
| Entity Name | Vidant Medical Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 | 
| Entity Name | Outer Banks Professional Services, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 | 
| Entity Name | Carteret Medical Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1700164464 PECOS PAC ID: 5698947794 Enrollment ID: O20111014000289 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Ryan Thomas Moore, MD Po Box 751069, Charlotte, NC 28275-1069 Ph: () - | Dr Ryan Thomas Moore, MD 2100 Stantonsburg Rd, Greenville, NC 27834-2818 Ph: (252) 847-4378 | 
| Dr. Judy W Wood, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Moye Blvd, Pediatric Outpatient Center, Greenville, NC 27834 Phone: 252-744-2335 Fax: 252-744-3811 | |
| Dr. Karen Mary Goth, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1901 Stonehenge Dr, Greenville, NC 27858 Phone: 252-561-7777 Fax: 252-561-7778 | |
| Heidi Kenefick, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 600 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2335 Fax: 252-744-3811 | |
| Leonard C Hymes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2150 Herbert Ct, Ecu Physicians Pediatric Nephrology, Greenville, NC 27834 Phone: 252-744-5437 Fax: 252-744-1514 | |
| Dr. Jennifer E Crotty, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 600 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2535 Fax: 252-744-3811 | |
| Joseph Ginski, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-847-4378 Fax: 252-847-9943 | |
| Weili Chang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-744-0766 Fax: 252-744-0392 |