DR. RICHARD MOSS (NPI# 1326097619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326097619 |
| Entity Type | Individual |
| Full Name | DR. RICHARD MOSS |
| Credential | M.D. |
| Practice Address |
721 W 13th St Suite 208 Jasper IN 47546-1855 |
| Practice Telephone | 8126346666 |
| Practice Fax Number | 8126346669 |
| Mailing Telephone | 8126346666 |
| Mailing Fax Number | 8126346669 |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2020-10-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
01039795 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100110900A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710518477 | Richard D Moss | Pharmacist | 160 Sw 12 Avenue, Suite 101 D, Deerfield Beach, FL 33442 | 2020-01-31 |
| 1356439061 | Richard Bradley Moss | Dentist | 1011 N Carroll Ave, Southlake, TX 76092-5305 | 2006-10-10 |
| 1952472292 | Richard Lee Moss | Dermatology | 50 N Medical Dr, Salt Lake City, UT 84132-1100 | 2006-11-10 |
| 1598854010 | Richard Donald Moss | Obstetrics & Gynecology | 1160 Park Avenue, New York, NY 10128 | 2006-10-12 |
| 1073537528 | Richard Moss | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-07-27 |
| 1578585717 | Richard L Moss | Dentist | 6099 N 1st St, Suite 104, Fresno, CA 93710-5462 | 2006-07-24 |
| 1053376228 | Richard Moss | Plastic Surgery | 110 Long Pond Rd, Suite 201, Plymouth, MA 02360-2642 | 2006-04-19 |
| 1336135854 | Richard A Moss | Nurse Anesthetist, Certified Registered | 4500 W 69th St, Sioux Falls, SD 57108-8148 | 2005-09-20 |
| Street Address |
721 W 13TH ST SUITE 208 |
| City | JASPER |
| State | IN |
| Zip Code | 47546-1855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619977337 | Cindy L Casey | Radiology | 721 W 13th St, Jasper, IN 47546-1817 | 2005-07-22 |
| 1154789436 | Richard Moss Md | Clinic/Center | 721 W 13th St, Suite 208, Jasper, IN 47546-1855 | 2016-02-02 |
| 1427424910 | April Susnjara | Social Worker | 721 W 13th St, Suite 121, Jasper, IN 47546-1855 | 2015-08-19 |
| 1336530500 | Nicole Nale | Social Worker | 721 W 13th St, Suite 121, Jasper, IN 47546-1855 | 2015-02-10 |
| 1457786501 | Allyson Mudd | Nurse Practitioner | 721 W 13th St, Suite 321, Jasper, IN 47546-1855 | 2013-09-09 |
| 1427482074 | Evan B Hurst, Md, Internal Medicine, PC | Clinic/Center | 721 W 13th St, Suite 322, Jasper, IN 47546-1855 | 2013-08-29 |
| 1427481852 | Kristen El-houjairy | Nurse Practitioner | 721 W 13th St, Suite 325, Jasper, IN 47546-1855 | 2013-08-21 |
| 1275974255 | Krystle Susan Hahus | Pediatrics | 721 W 13th St, Suite 321, Jasper, IN 47546-1855 | 2013-07-08 |
| 1881031821 | Lindsey Taylor | Pediatrics | 721 W 13th St, Suite 321, Jasper, IN 47546-1855 | 2013-05-31 |
| 1285973016 | Ann B Patterson Md PC | Clinic/Center | 721 W 13th St, Suite 322, Jasper, IN 47546-1855 | 2013-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303572 | Marissa L Brosmer | Registered Nurse | 440 Scott Rolen Drive, Jasper, IN 47546 | 2019-08-30 |
| 1154887040 | Jesc LLC | Clinic/Center | 647 West Second Street Suite A, Jasper, IN 47546 | 2019-02-15 |
| 1427384858 | Therapro LLC | Clinic/Center | 306 1/2 Main Street, Jasper, IN 47546 | 2009-10-20 |
| 1255459780 | Billy Lee Berry | Counselor | 332 3rd Ave, Jasper, IN 47546 | 2007-03-26 |
| 1285776294 | Gregory K. Gordon | Optometrist | 471 Us 231 S, Jasper, IN 47546 | 2007-02-13 |
| 1902951312 | Urology Specialists PC | Urology | 1950 St Charles Street, Suite 3, Jasper, IN 47546 | 2007-01-24 |
| 1568548501 | Ralph E Mehling | Pharmacist | #435 Us 231 S, Jasper, IN 47546 | 2006-10-31 |
| 1962585430 | Heart To Heart Hospice of Southwest Indiana LLC | Hospice Care, Community Based | 415 E 6th St, Jasper, IN 47546 | 2006-10-20 |
| 1245347137 | Roy Elliott Cecchi | Obstetrics & Gynecology | 613 Dorbett Street, Jasper, IN 47546 | 2006-08-24 |
| 1093828790 | Sleep Management Institute LLC | Internal Medicine | 3157 Villa Way, Jasper, IN 47546 | 2006-08-16 |
| Find all providers in zip 47546 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437420296 | Enayat K Shirazi | Otolaryngology | 3996 Quail Hill Dr, Richmond, IN 47374-7826 | 2012-01-25 |
| 1376553099 | Steven M Waters | Otolaryngology | 1913 Chester Blvd, Richmond, IN 47374-1212 | 2006-08-08 |
| 1508814740 | Robert Allen Youkilis | Otolaryngology | 12065 Old Meridian, Suite 205, Carmel, IN 46032 | 2006-05-04 |
| 1104120104 | Zormeier Cosmetic Surgery and Longevity Center, LLC | Otolaryngology | 302 Duran Dr, Shelbyville, IN 46176-1986 | 2011-01-05 |
| 1184756074 | W Gregory Chernoff Md PC | Otolaryngology | 9002 N Meridian St, Suite 205, Indianapolis, IN 46260-5381 | 2007-03-09 |
| 1588611537 | Giffin Ent LLC | Otolaryngology | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2006-05-27 |
| 1508814732 | Robert Wayne Stephens | Otolaryngology | 12065 Old Meridian Street, Suite 205, Carmel, IN 46032 | 2006-05-04 |
| 1396703203 | Scott Andrew Hackett | Otolaryngology | 12065 Old Meridian Street, Suite 205, Carmel, IN 46032 | 2006-05-02 |
| 1669445722 | Edward P. Daetwyler | Otolaryngology | 350 W Columbia St, Suite 310, Evansville, IN 47710-1782 | 2006-02-09 |
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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.