Elliotte D Moss (NPI# 1548245632, PAC ID# 2567515729) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1548245632 |
| PAC ID by PECOS | 2567515729 |
| Professional Enrollment ID | I20090805000454 |
| Full Name | Elliotte D Moss |
| Address |
21230 Dequindre Rd Warren MI 48091-2279 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1970 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GASTROENTEROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230264 | SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC |
| 230130 | BEAUMONT HOSPITAL, ROYAL OAK |
| Address | Phone | Organization |
|---|---|---|
| 27900 Grand River Ave, Farmington Hills, MI 48336-5965 | MICHIGAN HEALTHCARE PROFESSIONALS PC | |
| 30840 Northwestern Hwy, Suite 300, Farmington Hills, MI 48334-2555 | 2489328725 | MICHIGAN HEALTHCARE PROFESSIONALS PC |
| 21230 Dequindre Rd, Warren, MI 48091-2279 | ||
| 21230 Dequindre Rd, Warren, MI 48091-2279 | 5864271000 | MICHIGAN HEALTHCARE PROFESSIONALS PC |
| 21230 Dequindre Rd, Warren, MI 48091-2279 | SOUTHEAST MICHIGAN SURGICAL HOSPITAL LLC |
| Street Address |
21230 DEQUINDRE RD |
| City | WARREN |
| State | MI |
| Zip | 48091-2279 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia A Ljubic | Certified Registered Nurse Anesthetist (crna) | Asa Staffing Inc | 21230 Dequindre Rd, Warren, MI 48091-2279 |
| Sam Hakki | Orthopedic Surgery | Southeast Michigan Surgical Hospital LLC | 21230 Dequindre Rd, Warren, MI 48091-2279 |
| Siva K Sripada | Anesthesiology | Southeast Michigan Surgical Hospital LLC | 21230 Dequindre Rd, Warren, MI 48091-2279 |
| Amber M Kursch | Certified Registered Nurse Anesthetist (crna) | Asa Staffing Inc | 21230 Dequindre Rd, Warren, MI 48091-2279 |
| Jawad A Shah | Neurosurgery | Southeast Michigan Surgical Hospital LLC | 21230 Dequindre Rd, Warren, MI 48091-2279 |
| Dali Yin | Neurosurgery | Southeast Michigan Surgical Hospital LLC | 21230 Dequindre Rd, Warren, MI 48091-2279 |
| Zubar Hasan Sarmast | Hand Surgery | Southeast Michigan Surgical Hospital LLC | 21230 Dequindre Rd, Warren, MI 48091-2279 |
| Christina J Young | Certified Registered Nurse Anesthetist (crna) | Asa Staffing Inc | 21230 Dequindre Rd, Warren, MI 48091-2279 |
| Mahesh Karandikar | Neurosurgery | Southeast Michigan Surgical Hospital LLC | 21230 Dequindre Rd, Warren, MI 48091-2279 |
| Siphumelele Z Langeni | Certified Registered Nurse Anesthetist | Asa Staffing Inc | 21230 Dequindre Rd, Warren, MI 48091-2279 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barry S Meyer | Internal Medicine | 23411 Ryan Rd, Warren, MI 48091-1927 | |
| Elaine Brantley | Obstetrics/gynecology | Detroit Health Care for The Homeless | 4669 E 8 Mile Rd, Warren, MI 48091-2709 |
| Cynthera Mcneill | Nurse Practitioner | Detroit Health Care for The Homeless | 4669 E 8 Mile Rd, Warren, MI 48091-2709 |
| Ingrid Dominic Mitchell | Physician Assistant | Detroit Health Care for The Homeless | 4669 E 8 Mile Rd, Warren, MI 48091-2709 |
| Rojy Thomas Philip | Family Practice | Detroit Health Care for The Homeless | 4669 E 8 Mile Rd, Warren, MI 48091-2709 |
| Dania A Hatahet | Internal Medicine | Detroit Health Care for The Homeless | 4669 E 8 Mile Rd, Warren, MI 48091-2709 |
| Wanda Gibson-scipio | Nurse Practitioner | Detroit Health Care for The Homeless | 4669 E 8 Mile Rd, Warren, MI 48091-2709 |
| Dawn A Teklinsky | Certified Nurse Midwife | Detroit Health Care for The Homeless | 4669 E 8 Mile Rd, Warren, MI 48091-2709 |
| Aimee A Dennis | Nurse Practitioner | Detroit Health Care for The Homeless | 4669 E 8 Mile Rd, Warren, MI 48091-2709 |
| Munni Deb | Psychiatry | Detroit Health Care for The Homeless | 4669 E 8 Mile Rd, Warren, MI 48091-2709 |
| Find all physicians in zip 48091 | |||
| City | WARREN |
| Zip Code | 48091 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WARREN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Elliotte D Moss.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.