JONATHAN D MOSER (NPI# 1922539907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922539907 |
| Entity Type | Individual |
| Full Name | JONATHAN D MOSER |
| Credential | M.D. |
| Practice Address |
612 S 12th St Fort Smith AR 72901-4702 |
| Practice Telephone | 4797852431 |
| Practice Fax Number | 4797850732 |
| Mailing Telephone | 4797852431 |
| Mailing Fax Number | 4797850732 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | E-11961 | AR | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | E-11961 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
612 S 12TH ST |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72901-4702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345052 | Jimmy David Acklin | Family Medicine | 612 S 12th St, Fort Smith, AR 72901-4702 | 2005-06-09 |
| 1245850726 | Poonum Patel | Student in an Organized Health Care Education/Training Program | 612 S 12th St, Fort Smith, AR 72901-4702 | 2020-04-24 |
| 1891315008 | Muhammad Ahzam | Student in an Organized Health Care Education/Training Program | 612 S 12th St, Fort Smith, AR 72901-4702 | 2020-04-17 |
| 1790305076 | Alex Louis Kearns | Student in an Organized Health Care Education/Training Program | 612 S 12th St, Fort Smith, AR 72901-4702 | 2020-04-16 |
| 1326667718 | Amelia Ramzan | Student in an Organized Health Care Education/Training Program | 612 S 12th St, Fort Smith, AR 72901-4702 | 2020-04-15 |
| 1285253641 | Eric Nguyen | Student in an Organized Health Care Education/Training Program | 612 S 12th St, Fort Smith, AR 72901-4702 | 2020-04-15 |
| 1932728300 | Lacey Rose Balsmann | Student in an Organized Health Care Education/Training Program | 612 S 12th St, Fort Smith, AR 72901-4702 | 2020-04-15 |
| 1689222598 | Angelia Stephens | Case Manager/Care Coordinator | 612 S 12th St, Fort Smith, AR 72901-4702 | 2019-09-04 |
| 1144873571 | Mariah Hiatt | Social Worker | 612 S 12th St, Fort Smith, AR 72901-4702 | 2019-07-24 |
| 1508327669 | Kaethe Karin Goodwin Chigumira | Student in an Organized Health Care Education/Training Program | 612 S 12th St, Fort Smith, AR 72901-4702 | 2019-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922627249 | Vaibhav S Desai | Student in an Organized Health Care Education/Training Program | Family Medicine Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2020-04-16 |
| 1689136475 | Prudence Nassem Ipaye-adebiyi | Student in an Organized Health Care Education/Training Program | Family Medicine ; Uams-west, 612 South 12th St., Fort Smith, AR 72901 | 2019-04-02 |
| 1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
| 1316426125 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 60, Fort Smith, AR 72901 | 2018-08-13 |
| 1396224101 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 100, Fort Smith, AR 72901 | 2018-08-13 |
| 1164901914 | Baptist Health Services | Internal Medicine | 1001 Towson Ave Ste 200, Fort Smith, AR 72901 | 2018-08-13 |
| 1942789755 | Baptist Health Services | Counselor | 1001 Towson Ave Ste 500, Fort Smith, AR 72901 | 2018-08-13 |
| 1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
| 1326527086 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 | 2018-08-13 |
| Find all providers in zip 72901 | ||||
| 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 |
|---|---|---|---|---|
| 1871106476 | Mkosmo, LLC | Family Medicine | 9524 Wey Bridge Dr, Fort Smith, AR 72916-7007 | 2020-08-25 |
| 1396224069 | Baptist Health Services | Family Medicine | 8600 S 36th Ter Ste A, Fort Smith, AR 72908 | 2018-08-13 |
| 1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
| 1326527086 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1871072751 | Baptist Health Services | Family Medicine | 4700 Kelley Hwy Ste A, Fort Smith, AR 72904 | 2018-08-10 |
| 1609355528 | Baptist Health Services | Family Medicine | 8600 S 36th Ter Ste B, Fort Smith, AR 72908 | 2018-08-10 |
| 1144608746 | Good Samaritan Clinic | Family Medicine | 615 North B Street, Fort Smith, AR 72901 | 2015-05-14 |
| 1689003261 | Thomas H Raymond | Family Medicine | 2320 South O Street, Fort Smith, AR 72901 | 2013-11-05 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72901 |
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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.