MAX L MOSS (NPI# 1255437471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255437471 |
| Entity Type | Individual |
| Full Name | MAX L MOSS |
| Credential | MD |
| Practice Address |
212 Heritage Park Dr Murfreesboro TN 37129-1549 |
| Mailing Address |
Po Box 1039 Murfreesboro TN 37133-1039 |
| Practice Telephone | 6158935022 |
| Practice Fax Number | 6158937184 |
| Mailing Telephone | 6158935022 |
| Mailing Fax Number | 6158937184 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
23486 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3073071 | 05 |
| Street Address |
212 HERITAGE PARK DR |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37129-1549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326144536 | Richard W Johnson | Radiology | 212 Heritage Park Dr, Murfreesboro, TN 37129-1549 | 2006-09-15 |
| 1134225089 | Ann B Owen | Radiology | 212 Heritage Park Dr, Murfreesboro, TN 37129-1549 | 2006-09-16 |
| 1568568319 | Stan L Pope | Radiology | 212 Heritage Park Dr, Murfreesboro, TN 37129-1549 | 2006-09-16 |
| 1467558221 | Gerald M Thorburn | Radiology | 212 Heritage Park Dr, Murfreesboro, TN 37129-1549 | 2006-09-16 |
| 1639275589 | Stanley P Mullen | Radiology | 212 Heritage Park Dr, Murfreesboro, TN 37129-1549 | 2006-09-16 |
| 1851497614 | James A Starrett | Radiology | 212 Heritage Park Dr, Murfreesboro, TN 37129-1549 | 2006-09-16 |
| 1285730416 | Paul G Menke | Radiology | 212 Heritage Park Dr, Murfreesboro, TN 37129-1549 | 2006-09-15 |
| 1932205150 | Marynelle J Klumpe | Radiology | 212 Heritage Park Dr, Murfreesboro, TN 37129-1549 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183188 | Results-ast Jv, LLC | Physical Therapist | 1203-b Memorial Blvd, Murfreesboro, TN 37129 | 2020-10-27 |
| 1629689674 | Saint Thomas Medical Partners | Clinic/Center | 220 West Jefferson Pike, Murfreesboro, TN 37129 | 2020-08-13 |
| 1841822301 | Treasure Island Pediatric Dentistry | Clinic/Center | 1900 Medical Center Parkway, 110, Murfreesboro, TN 37129 | 2020-02-12 |
| 1275164162 | Seven Springs Orthopaedics, PC | Orthopaedic Surgery | 2213memorial Blvd., Suite D, Murfreesboro, TN 37129 | 2020-01-29 |
| 1255898185 | Sonja Vanetta Brown Deloatch | Social Worker | 6400 Lebanon Rd, Murfreesboro, TN 37129 | 2019-02-27 |
| 1821560137 | Zachary Ditmarsen | Chiropractor | 803 N Thompson Ln, Suite 103a, Murfreesboro, TN 37129 | 2018-12-27 |
| 1154841575 | Julia Goddeeris | Audiologist | 804 N Thompson Ln, Murfreesboro, TN 37129 | 2017-06-27 |
| 1548713100 | National Vision, Inc. | Technician/Technologist | 1993 Old Fort Pkwy, Murfreesboro, TN 37129 | 2016-08-01 |
| 1437504891 | Journeypure At The River LLC | Substance Abuse Rehabilitation Facility | 5080 Florence Rd, Murfreesboro, TN 37129 | 2016-05-04 |
| 1750763900 | Vilayvanh Saysoukha | Podiatrist | 1155 Kennedy Dr Ste 101, Murfreesboro, TN 37129 | 2015-06-24 |
| Find all providers in zip 37129 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043366693 | Navin P. Shah | Radiology | 211 Churchill Farms Dr, Murfreesboro, TN 37127-7897 | 2007-01-26 |
| 1326144536 | Richard W Johnson | Radiology | 212 Heritage Park Dr, Murfreesboro, TN 37129-1549 | 2006-09-15 |
| 1891809844 | Sandra Aileen Bates | Radiology | 3400 Lebanon Rd., Murfreesboro, TN 37221 | 2006-08-18 |
| 1336126762 | Radiology & Diagnostics,plc | Radiology | 1102 Dow St, Murfreesboro, TN 37130-2486 | 2005-12-28 |
| 1750366050 | Erich Lussnig | Radiology | 1700 Medical Center Pkwy, Murfreesboro, TN 37129-2245 | 2005-12-08 |
| 1659365872 | Edrick Jordan Ferguson | Radiology | 2804 Battleground Dr, Murfreesboro, Murfreesboro, TN 37129-6492 | 2005-09-02 |
| 1679572820 | Daniel T Fowler | Radiology | 3400 Lebanon Rd # 114, Murfreesboro, TN 37129-1392 | 2005-07-19 |
| 1659811941 | Tennessee Medical Imaging, P.C. | Radiology | 1001 N Highland Ave, Murfreesboro, TN 37130-2450 | 2017-03-06 |
| 1932465812 | Jon Seth Mather | Radiology | 1700 Medical Center Pkwy, Murfreesboro, TN 37129-2245 | 2012-04-05 |
| 1194018531 | Matthew Scott Layman | Radiology | 1700 Medical Center Pkwy, Murfreesboro, TN 37129-2245 | 2011-05-18 |
| Find all providers in MURFREESBORO | ||||
| City | MURFREESBORO |
| Zip Code | 37129 |
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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.