DR. JONATHAN DAVID MOSS (NPI# 1871534933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871534933 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN DAVID MOSS |
| Credential | MD |
| Practice Address |
100 Health Center Dr Bridgewater VA 22812 |
| Mailing Address |
100 Health Center Dr Bridgewater VA 22812-9511 |
| Practice Telephone | 5408282634 |
| Mailing Telephone | 5408282634 |
| Mailing Fax Number | 5408286911 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2018-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | D0075192 | MD | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 0101042395 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Health Center Dr, Bridgewater, VA 22812 | 5408282634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922523984 | Jonathan Maurice Moss | Contractor | 7512 Boydton Plank Rd, North Dinwiddie, VA 23803-7354 | 2017-08-10 |
| 1952601130 | Jonathan David Moss | Social Worker | 399 W. Kawili St., #202, Hilo, HI 96720-4086 | 2010-10-22 |
| 1295394294 | Jonathan Matthew Moss | Podiatrist | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2019-06-12 |
| 1447784103 | Jonathan Brent Moss | Student in an Organized Health Care Education/Training Program | 979 E 3rd St, Suite B-401, Chattanooga, TN 37403-2136 | 2017-04-19 |
| 1679918247 | Jonathan Moss | Marriage & Family Therapist | 1545 Church St, San Francisco, CA 94131-2017 | 2013-05-08 |
| 1447307244 | Jonathan Randall Moss | Otolaryngology | 724 Aubrey Bell Dr, Matthews, NC 28105-5055 | 2007-01-04 |
| 1235294455 | Jonathan Moss | Anesthesiology | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 | 2006-12-27 |
| Street Address |
100 HEALTH CENTER DR |
| City | BRIDGEWATER |
| State | VA |
| Zip Code | 22812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116042 | Maria Josephina Circosta | Registered Nurse | 100 Health Center Dr, Bridgewater, VA 22812-9511 | 2019-07-23 |
| 1356720049 | David Song Ko | Family Medicine | 100 Health Center Dr, Bridgewater, VA 22812-9511 | 2015-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637242 | Hastings Healthcare, LLC | General Practice | Hastings Medical Clinic of Bridgewater, 110 North Main Street Suite A, Bridgewater, VA 22812 | 2020-10-21 |
| 1316469687 | Jasmine Taylor Pinder | Specialist/Technologist | 402 East College Street, Bridgewater, VA 22812 | 2017-07-08 |
| 1548643547 | Gail E. Reese | Behavioral Analyst | 5630 Glade View Drive, Bridgewater, VA 22812 | 2015-07-08 |
| 1992915557 | Richard M. Smith | Dentist | 100 Parkside Drive, Bridgewater, VA 22812 | 2007-05-23 |
| 1003914144 | Donald Richard Bell | Chiropractor | 102 E College St, Bridgewater, VA 22812 | 2006-09-20 |
| 1104472869 | Ke'ara Denae Tucker | Student in an Organized Health Care Education/Training Program | 402 E College St, Bridgewater, VA 22812 | 2019-08-16 |
| 1265957864 | Shelby Paige Gregory | Specialist/Technologist | 402 E College St, Bridgewater, VA 22812 | 2017-08-04 |
| 1104341841 | Maria Rector | Specialist/Technologist | 402 E College St, Bridgewater, VA 22812 | 2017-08-03 |
| 1225112402 | Bridgewater Chiropractic Center | Chiropractor | 102 E College St, Bridgewater, VA 22812 | 2006-10-25 |
| 1669847471 | Barbara Dotson-brooner | Student in an Organized Health Care Education/Training Program | 109 Nover Dr, Bridgewater, VA 22812-1012 | 2015-12-04 |
| Find all providers in zip 22812 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801342902 | Hunterdon Primary Care, PC | Family Medicine | 250 Route 28, Suite 105b, Bridgewater, NJ 08807-1979 | 2016-08-29 |
| 1417309881 | Dharti J Panara | Family Medicine | 1200 Route 22 Ste 16, Bridgewater, NJ 08807-2943 | 2016-07-08 |
| 1306104179 | Donald Herbert Wernsing | Family Medicine | 19 Argonne Farm Dr, Bridgewater, NJ 08807-1480 | 2012-04-30 |
| 1083645923 | T.peter Carlton Jameson | Family Medicine | 70 Blueberry Hill Rd, Bridgewater, CT 06752-1340 | 2006-07-06 |
| 1356372080 | Jill S. Hup | Family Medicine | 465 Union Ave Ste B, Bridgewater, NJ 08807 | 2006-07-05 |
| 1275576910 | John P Kripsak | Family Medicine | 766 Us Highway 202/206 North, Suite 1, Bridgewater, NJ 08807-1704 | 2006-06-13 |
| 1033198494 | Christina Marie Medrano | Family Medicine | 55 Corporate Dr, Mail Stop 55c-b-100a, Bridgewater, NJ 08807-1265 | 2006-01-13 |
| 1174500094 | Rufus C Huffman | Family Medicine | 200 High St, Bridgewater, VA 22812-1114 | 2005-12-30 |
| 1083616841 | Jeanne Mitterando | Family Medicine | 766 Us Highway 202/206, Suite One, Bridgewater, NJ 08807-1777 | 2005-08-11 |
| 1356720049 | David Song Ko | Family Medicine | 100 Health Center Dr, Bridgewater, VA 22812-9511 | 2015-05-27 |
| Find all providers in BRIDGEWATER | ||||
| City | BRIDGEWATER |
| Zip Code | 22812 |
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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.