DR. CHARLES HARDY MOSHER (NPI# 1164492997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164492997 |
| Entity Type | Individual |
| Full Name | DR. CHARLES HARDY MOSHER |
| Credential | M.D. |
| Practice Address |
8303 Dodge St Omaha NE 68114-4108 |
| Mailing Address |
Po Box 2797 Omaha NE 68103-2797 |
| Practice Telephone | 4023544540 |
| Practice Fax Number | 4023544535 |
| Mailing Telephone | 4023544230 |
| Mailing Fax Number | 4023546171 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2013-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
33649 | IA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
33649 | IA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 33649 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1164492997 | 05 | |
| NE | WELLMARK | 1164492997 | 01 |
| NE | 470376604-22 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801950126 | Charles B Mosher Jr. | General Practice | 5300 Hwy 49 N, Mariposa, CA 95338-0155 | 2006-12-21 |
| Street Address |
8303 DODGE ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68114-4108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629061528 | Herbert Arthur Hartman Jr. | Internal Medicine | 8303 Dodge St, Ste 225, Omaha, NE 68114 | 2005-08-25 |
| 1487251120 | The Nebraska Methodist Hospital | Clinical Medical Laboratory | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-10-06 |
| 1538771381 | Krista Villarreal | Nurse Practitioner | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-08-21 |
| 1437769163 | Julie Juddi | Dietitian, Registered | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-08-06 |
| 1023631934 | Jaclyn E Kenney | Nurse Practitioner | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-05-26 |
| 1215558846 | Linda Yen Nong | Pharmacist | 8303 Dodge St, Omaha, NE 68114-4108 | 2020-05-05 |
| 1265990303 | Amanda J Nelson | Registered Nurse | 8303 Dodge St, Omaha, NE 68114-4108 | 2019-03-07 |
| 1194283226 | Haley R Mcmillin | Registered Nurse | 8303 Dodge St, Omaha, NE 68114-4108 | 2019-03-07 |
| 1336618578 | Emily Schlautman | Physician Assistant | 8303 Dodge St, Suite 225, Omaha, NE 68114-4108 | 2018-11-16 |
| 1134602105 | Michael Gurtler | Genetic Counselor, MS | 8303 Dodge St, Omaha, NE 68114-4108 | 2018-09-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237356 | Jared Nathan Holthaus | Optometrist | 625 N. 98th St, Omaha, NE 68114 | 2019-04-18 |
| 1346701869 | On Site Health and Wellness, LLC | Dietitian, Registered | 7905 Pacific Street, Omaha, NE 68114 | 2019-03-27 |
| 1801301205 | Logan Johnson | Specialist/Technologist | 8803 Webster Plz, Omaha, NE 68114 | 2017-12-06 |
| 1992224687 | Douglas Medical Supplies | Durable Medical Equipment & Medical Supplies | 7914 W Dodge Rd Ste 916, Omaha, NE 68114 | 2017-09-13 |
| 1023568540 | Active Spine Physical Therapy, LLC | Clinic/Center | 10110 Nicholas St Ste 100, Omaha, NE 68114 | 2016-10-07 |
| 1417400706 | Kayla Ann Leddy | Counselor | 7701 Pacific St Ste 100a, Omaha, NE 68114 | 2016-08-03 |
| 1134561103 | Julio Cesar Deleon Iv | Counselor | 9212 California Plaza #308, Omaha, NE 68114 | 2013-07-19 |
| 1477992261 | Nicole Janine Lecci | Dentist | 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 | 2013-06-14 |
| 1538504436 | Christian Louis Barney | Radiology | 8303 Dodge St Ste Ll6, Omaha, NE 68114 | 2013-05-06 |
| 1558606665 | Nbd Solutions | Durable Medical Equipment & Medical Supplies | 327 N 78 Street, Omaha, NE 68114 | 2012-11-29 |
| Find all providers in zip 68114 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083275143 | Changzhao Li | Pathology | 7710 Mercy Road Suite 202-cu Department of Pathology, Omaha, NE 68124-2353 | 2019-06-27 |
| 1518482629 | Robert Elmore | Pathology | 7710 Mercy Road, Suite 202 - Cu Dept of Pathology, Omaha, NE 68106 | 2017-08-09 |
| 1720493380 | Sahara Cathcart | Pathology | Department of Pathology and Microbiology, 983135 Nebraska Medical Center, Omaha, NE 68198-3135 | 2014-06-23 |
| 1962757997 | Liyan Xu | Pathology | 601 N 30th Ste 1609, Omaha, NE 68131-2137 | 2012-07-16 |
| 1629365507 | Whitney R Wedel | Pathology | 3005 Harney St, Apt B2, Omaha, NE 68131-3538 | 2011-06-29 |
| 1316144611 | Scott Alan Koepsell | Pathology | Unmc-pathology, 983135 Nmc, Omaha, NE 68198-3135 | 2007-06-29 |
| 1255538674 | Justin Dean Misko | Pathology | 983135 Nebraska Medical Ctr, Omaha, NE 68198-3135 | 2007-06-29 |
| 1609098268 | Michael Belenky | Pathology | 601 N.31 Street, Omaha, NE 68131 | 2007-05-03 |
| 1629182464 | Chhanda Bewtra | Pathology | 601 N 30th St Ste 2400, Omaha, NE 68131-2137 | 2006-08-18 |
| 1780664920 | Carmelita J Alvares | Pathology | 983135 Nebraska Med Ctr, Omaha, NE 68198-3135 | 2006-01-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.