MOS LLC (NPI# 1194701862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194701862 |
| Entity Type | Organization |
| Organization Name | MOS LLC |
| Other Organization Name | DOWN HOME MEDICAL |
| Practice Address |
256 Sw Washington Ave Madison FL 32340 |
| Mailing Address |
Po Box 902 Madison FL 32341 |
| Practice Telephone | 8509734590 |
| Practice Fax Number | 8509734929 |
| Mailing Telephone | 8509734590 |
| Mailing Fax Number | 8509734929 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2013-07-31 |
| Authorized Official Name | MS. TAMMY WILLIAMS (OWNER) |
| Authorized Official Telephone | 8509734590 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1396122 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | Y1305 | 01 |
| Other Name | Type Code |
|---|---|
| Down Home Medical | Doing Business As Name - Organization |
| Street Address |
256 SW WASHINGTON AVE |
| City | MADISON |
| State | FL |
| Zip Code | 32340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912128232 | Michael O Stick | General Practice | 256 Sw Washington Ave, Madison, FL 32340-1982 | 2007-05-02 |
| 1437282415 | Tammy Williams | Nurse Practitioner | 256 Sw Washington Ave, Madison, FL 32340-1982 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376016980 | Annie Laura Dyke | Registered Nurse | 213 Sw Third Ave, Madison, FL 32340 | 2019-01-07 |
| 1730698051 | Judith Khristian Sever-johnson | Registered Nurse | 218 Sw Third Avenue, Madison, FL 32340 | 2017-09-29 |
| 1265800437 | Maria Anchondo | Dentist | Ave. De La Raza #4722, Suite 3, Juarez, CHIHUAHUA 32340 | 2015-09-04 |
| 1508106063 | Family First Wellness Clinic, LLC | Family Medicine | 486 Sw Rutledge Street, Madison, FL 32340 | 2013-02-20 |
| 1306032073 | North Florida Pharmacy of Madison Inc. | Durable Medical Equipment & Medical Supplies | 139 Sw Macon St, Madison, FL 32340 | 2007-09-17 |
| 1295949444 | Roderick K Shaw IIi Dmd Pa | Dentist | 255 Ne Duval Ave, Madison, FL 32340 | 2007-05-09 |
| 1124159728 | Duramed Medical Services | Physiological Laboratory | 289 Sw Range Ave, Ste D, Madison, FL 32340 | 2007-03-08 |
| 1861595514 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 407 East Base St, Madison, FL 32340 | 2006-09-07 |
| 1699248203 | Katelynn Mae Croft | Licensed Practical Nurse | 213 Sw Third Ave, Madison, FL 32340 | 2019-01-07 |
| 1356826291 | Bailey Grade Medical Care, LLC | Family Medicine | 289 Sw Range Ave, Suite C, Madison, FL 32340 | 2018-09-26 |
| Find all providers in zip 32340 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952870289 | Sujata Karki | Nurse Practitioner | 402 N Eau Claire Ave Apt 309, Madison, WI 53705-2820 | 2018-11-15 |
| 1902341852 | Rebecca Weld Hall | Nurse Practitioner | 3245 Milwaukee St, Madison, WI 53714-1829 | 2017-01-02 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1528449816 | Jenny Southwood | Nurse Practitioner | 8371 Highway 72 W Ste 104, Madison, AL 35758-9505 | 2015-06-12 |
| 1245508860 | Delicia Vanterpool | Nurse Practitioner | 8045 Highway 72 W Ste 100, Madison, AL 35758-9564 | 2011-12-09 |
| 1780970004 | Jill Katherine Steagall | Nurse Practitioner | 5395 E Cheryl Parkway, Madison, WI 53711 | 2011-06-24 |
| 1184861320 | Mississippi Nurse Practitioners Inc | Nurse Practitioner | 441 Kingsbridge Rd, Madison, MS 39110-7644 | 2009-01-09 |
| 1063543114 | Nancy Mccann Ranum | Nurse Practitioner | 333 E Campus Mall # 7307, # 7307, Madison, WI 53715-1381 | 2007-03-08 |
| 1265487748 | Kyle Diane Weisholtz | Nurse Practitioner | 36 Madison Avenue, Madison, NJ 07940 | 2006-05-23 |
| 1043853955 | Ruth Morris Church | Nurse Practitioner | 8216 Madison Blvd, Madison, AL 35758-2002 | 2019-10-23 |
| Find all providers in MADISON | ||||
Please comment or provide details below to improve the information on MOS LLC.
| 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.