COLIN MOSS


Address: 1850 Bluegrass Ave, Louisville, KY 40215-1161
Phone: 5023616000

COLIN MOSS (NPI# 1770960387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770960387
Entity Type Individual
Full Name COLIN MOSS
Practice Address 1850 Bluegrass Ave
Louisville
KY 40215-1161
Mailing Address 2944 Grinstead Dr
Louisville
KY 40206-2645
Practice Telephone 5023616000
Mailing Telephone 2703032436
Enumeration Date 2015-05-04
Last Update Date 2020-01-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 51161 KY Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1850 BLUEGRASS AVE
City LOUISVILLE
State KY
Zip Code 40215-1161

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629071006 Cynthia A Corrigan Pathology 1850 Bluegrass Ave, Pathology Dept, Louisville, KY 40215-1161 2005-05-31
1124654512 Uofl Health-louisville Inc General Acute Care Hospital 1850 Bluegrass Ave, Louisville, KY 40215-4021 2020-03-17
1205480977 Taylor Caitlin Cohen Physician Assistant 1850 Bluegrass Ave, Louisville, KY 40215-1161 2019-07-30
1871079202 Jessica L. Keller Physician Assistant 1850 Bluegrass Ave, Louisville, KY 40215-1161 2018-07-18
1154863496 Dennis Mcgill Nurse Practitioner 1850 Bluegrass Ave, Hma Dept, Louisville, KY 40215-1161 2016-11-16
1538510201 Prateek Mathur Internal Medicine 1850 Bluegrass Ave, Louisville, KY 40215-1161 2016-06-23
1194114173 Gregory Hart Nurse Practitioner 1850 Bluegrass Ave, Louisville, KY 40215-1161 2015-01-14
1730590423 Nisha Aggarwal Internal Medicine 1850 Bluegrass Ave, Louisville, KY 40215-1161 2014-05-15
1710305669 Lp Louisville Hospital South, LLC Skilled Nursing Facility 1850 Bluegrass Ave, Unit 3c, Louisville, KY 40215-1161 2014-03-28
1972924496 Thanh-diu Thi Pham Physician Assistant 1850 Bluegrass Ave, Hma Dept, Louisville, KY 40215-1161 2013-12-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417473315 Robin Jones Behavioral Analyst 800 W. Woodlawn Ave, Louisville, KY 40215 2017-08-22
1316332448 Christopher Fenzel Emergency Medicine 1850 Bluegrass Avenue, Louisville, KY 40215 2015-04-06
1447661210 Khac Phuong Vu Dentist 3448 Taylor Boulevard, Louisville, KY 40215 2014-05-15
1619251238 Scott H Kaminsky Marriage & Family Therapist 3535 Taylor Blvd, Louisville, KY 40215 2011-09-30
1821313529 Taylor Blvd Chiropractic Chiropractor 3254 Taylor Blvd, Louisville, KY 40215 2010-04-06
1396985131 Jewish Hospital & St. Mary's Healthcare, Inc. Psychiatric Residential Treatment Facility 4419 Lasalle Ave, Louisville, KY 40215 2009-03-05
1841448735 Jewish Hospital & St. Mary's Healthcare, Inc. Psychiatric Residential Treatment Facility 4418 Malcolm Ave., Louisville, KY 40215 2008-09-04
1235329400 Thad R. Schulten Psc Dentist 4515 Churchman Ave., Louisville, KY 40215 2007-07-25
1801911680 Timothy John Lutes Dentist 3205 Taylor Blvd, Louisville, KY 40215 2007-03-20
1063557346 Louisville-jefferson County Metro Government Public Health or Welfare 4255 Hazelwood Avenue, Louisville, KY 40215 2007-02-21
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316332448 Christopher Fenzel Emergency Medicine 1850 Bluegrass Avenue, Louisville, KY 40215 2015-04-06
1477963163 Tiffany A Campbell Emergency Medicine 530 South Jackson St., #c1h17, Louisville, KY 40202 2014-05-02
1154748382 Samuel Rume Aya Emergency Medicine 530 South Jackson St, #c1h17, Department of Emergency Medicine, Louisville, KY 40202 2014-03-26
1598039315 Mary Barbara Sowers Emergency Medicine 611 Emery Rd, Louisville, KY 40206 2012-02-24
1821383944 Shaun M Reynolds Emergency Medicine 530 S Jackson St # C1h17, Department of Emergency Medicine, U of Louisville, Louisville, KY 40202-1675 2011-06-16
1497071674 Jordan Taylor Brown Emergency Medicine 10904 Keene Rd, Louisville, KY 40241-4860 2010-04-14
1366679342 Devin Sandlin Emergency Medicine 1907 Stevens Ave, Louisville, KY 40205-1048 2009-06-17
1801023320 Mark Timothy Scallon Rukavina Emergency Medicine 2400 Mellwood Ave, Apt 1003, Louisville, KY 40206-1061 2009-06-11
1962664961 Amy Lynn Minix Emergency Medicine 3504 Birchmore Pl, Louisville, KY 40245-8475 2008-06-30
1912169673 Valerie King Emergency Medicine 2779 Maple Rd, Louisville, KY 40205-1735 2008-06-25
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Competitor

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City LOUISVILLE
Zip Code 40215

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Dataset Information

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.

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