MR. JEFFERY GRAY MOSER (NPI# 1851315279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851315279 |
| Entity Type | Individual |
| Full Name | MR. JEFFERY GRAY MOSER |
| Credential | L.O., C.PED. |
| Practice Address |
3778 W Gulf To Lake Hwy Lecanto FL 34461-9214 |
| Practice Telephone | 3525278200 |
| Practice Fax Number | 3525278183 |
| Mailing Telephone | 3525278200 |
| Mailing Fax Number | 3525278183 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | ORT60 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | M2737 | 01 |
| Street Address |
3778 W GULF TO LAKE HWY |
| City | LECANTO |
| State | FL |
| Zip Code | 34461-9214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952583031 | Jeff Moser Inc | Orthotist | 3778 W Gulf To Lake Hwy, Lecanto, FL 34461-9214 | 2007-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891261160 | Shekinah Barfield | Physician Assistant | Pediatric and Internal Medicine Specialist Inc, 1990 N Prospect Ave, Lecanto, FL 34461 | 2018-10-15 |
| 1699240887 | Medical Risk Solutions | Family Medicine | 2804 W. Marc Knighton Court Key #10, Lecanto, FL 34461 | 2018-10-04 |
| 1851848097 | Pedim Outreach and Specialty Clinic LLC | Family Medicine | 1982 N Prospect Ave, Lecanto, FL 34461 | 2016-09-06 |
| 1265776579 | Wal-mart Stores East Lp | Technician/Technologist | 1936 N. Lecanto Hwy, Lecanto, FL 34461 | 2012-11-27 |
| 1922306109 | Pediatric and Internal Medicine Specialists, Pa | Clinic/Center | 1980 North Prospect Avenue, Lecanto, FL 34461 | 2011-03-11 |
| 1942459078 | Crq Enterprises LLC | Home Health | 4214 W Gulf To Lake Hwy, Lecanto, FL 34461 | 2008-09-12 |
| 1548418064 | Thomas Tybeck | Counselor | 324 S Kensington Ave Ste 328, Lecanto, FL 34461 | 2008-09-09 |
| 1356533566 | Amanda Nicole Coppedge | Optometrist | 240 N. Lecanto Hwy., Lecanto, FL 34461 | 2007-08-11 |
| 1679779185 | Brashears Vital Care Corp | Pharmacy | 471 N Dacie Pt, Lecanto, FL 34461 | 2007-06-22 |
| 1285751099 | Interim Healthcare Private Services, Inc. | Home Health | 581 E. Gulf To Lake Highway, Village West Plaza, Lecanto, FL 34461 | 2007-03-25 |
| Find all providers in zip 34461 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952583031 | Jeff Moser Inc | Orthotist | 3778 W Gulf To Lake Hwy, Lecanto, FL 34461-9214 | 2007-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952874786 | Matthew Etan Gruskin | Orthotist | 1071 Ne 83rd St, Miami, FL 33138-4137 | 2019-01-03 |
| 1710474333 | Dana Schack | Orthotist | 2300 Se 17th St Ste 401, Ocala, FL 34471-9140 | 2018-04-19 |
| 1912406950 | Prosthetics Clinic of Florida, LLC | Orthotist | 5651 Gulf Dr Ste 4, New Port Richey, FL 34652-4019 | 2018-02-05 |
| 1740797901 | Olaf M Holm | Orthotist | 812 W Mlk Blvd Ste 100, Tampa, FL 33603-3338 | 2018-01-09 |
| 1366983405 | Brett Richard Saunders | Orthotist | 761 Highway 466, Lady Lake, FL 32159-6340 | 2017-03-08 |
| 1598159329 | Michael Mcdowell | Orthotist | 590 Solutions Way Ste 100, Rockledge, FL 32955-3623 | 2015-03-18 |
| 1760880710 | Michael Robert Tanguay | Orthotist | 450 North State Road 7, Plantation, FL 33317 | 2014-12-08 |
| 1487051991 | Lori Vanderhoof | Orthotist | 2939 Martin Luther King Jr Blvd, Panama City, FL 32405-4411 | 2014-11-26 |
| 1770984106 | Nathaniel Sterling Hampson | Orthotist | 2425 Pelican Bay Ct, Panama City Beach, FL 32408-7053 | 2014-09-04 |
| 1083939789 | Herbert George Smith Jr. | Orthotist | 4109 Little Rd, Suite 102, Trinity, FL 34655-1715 | 2010-04-06 |
| Find all providers with the same taxonomy | ||||
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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.