Ricardo Moscoso (NPI# 1376599316, PAC ID# 5890842892) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1376599316 |
| PAC ID by PECOS | 5890842892 |
| Professional Enrollment ID | I20090408000574 |
| Full Name | Ricardo Moscoso |
| Organization Legal Name | TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC |
| Address |
860 Omni Blvd Newport News VA 23606-4430 |
| Gender | M |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 1991 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 2860398526 |
| Number of Group Practice Members | 231 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490119 | SENTARA PRINCESS ANNE HOSPITAL |
| 490057 | SENTARA VIRGINIA BEACH GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2115 Executive Dr, Hampton, VA 23666-2451 | 7572234992 | TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC |
| 2205 Executive Dr, Suite A, Hampton, VA 23666-2948 | 7572234992 | TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC |
| 860 Omni Blvd, Newport News, VA 23606-4430 | TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC |
| Organization Legal Name | TIDEWATER PHYSICIANS MULTISPECIALTY GROUP, PC |
| Physicians | 240 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Zelinskas | Family Medicine | Tidewater Physicians Multispecialty Group, PC | 1016 Justis St, Chesapeake, VA 23325-2516 |
| Danae Consuelo Guerra | Physician Assistant | Tidewater Physicians Multispecialty Group, PC | 1100 Volvo Pkwy, Suite 100, Chesapeake, VA 23320-3341 |
| Jennifer Ann Vannoy | Nurse Practitioner | Tidewater Physicians Multispecialty Group, PC | 5399 Old Virginia St, Urbanna, VA 23175-2179 |
| Trina S Williams | Nurse Practitioner | Tidewater Physicians Multispecialty Group, PC | 11751 Rock Landing Dr, Suite 1, Newport News, VA 23606-4233 |
| Stephanie Barnes | Nurse Practitioner | Tidewater Physicians Multispecialty Group, PC | 222 Grafton Dr, Grafton, VA 23692-2152 |
| Latoya Shant'e Kearney | Nurse Practitioner | Tidewater Physicians Multispecialty Group, PC | 1405 Kiln Creek Pkwy K, Newport News, VA 23602-9700 |
| Laurie Harris | Family Medicine | Tidewater Physicians Multispecialty Group, PC | 2117 Hartford Rd, Hampton, VA 23666-2408 |
| Jeffrey Harris | Family Medicine | Tidewater Physicians Multispecialty Group, PC | 307 Cook Rd, Yorktown, VA 23690-9640 |
| Pamala Suter | Registered Dietitian Or Nutrition Professional | Tidewater Physicians Multispecialty Group, PC | 132 Professional Cir, Williamsburg, VA 23185-3374 |
| David Deeley | Family Medicine | Tidewater Physicians Multispecialty Group, PC | 12655 Warwick Blvd A, Newport News, VA 23606-2501 |
| Street Address |
860 OMNI BLVD |
| City | NEWPORT NEWS |
| State | VA |
| Zip | 23606-4430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher A Dawson | Physical Medicine and Rehabilitation | Tidewater Physicians Multispecialty Group, PC | 860 Omni Blvd, Newport News, VA 23606-4430 |
| Ahmed Amini | Nephrology | Tidewater Physicians Multispecialty Group, PC | 860 Omni Blvd, Newport News, VA 23606-4430 |
| William E Brown Iii | Internal Medicine | Tidewater Physicians Multispecialty Group, PC | 860 Omni Blvd, Newport News, VA 23606-4430 |
| Kelly M Murrer | Nurse Practitioner | Tidewater Physicians Multispecialty Group, PC | 860 Omni Blvd, Newport News, VA 23606-4430 |
| Eric Darby | Urology | Tidewater Physicians Multispecialty Group, PC | 860 Omni Blvd, Suite 107, Newport News, VA 23606-4430 |
| Lesli Hughes | Clinical Social Worker | Tidewater Physicians Multispecialty Group, PC | 860 Omni Blvd, Newport News, VA 23606-4430 |
| Cynthia M Sanders | Qualified Audiologist | Tidewater Physicians Multispecialty Group, PC | 860 Omni Blvd, Newport News, VA 23606-4430 |
| Lawerence Hyman | Family Medicine | Tidewater Physicians Multispecialty Group, PC | 860 Omni Blvd, Newport News, VA 23606-4430 |
| Paris Cofield | Nurse Practitioner | Tidewater Physicians Multispecialty Group, PC | 860 Omni Blvd, Suite 111, Newport News, VA 23606-4430 |
| Michael Hanger | Nurse Practitioner | Tidewater Physicians Multispecialty Group, PC | 860 Omni Blvd, Newport News, VA 23606-4430 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittney L Kortz | Physical Therapy | Physical Therapy Specialists, P.C. | 704 Thimble Shoals Boulevard, 400a, Newport News, VA 23606 |
| Darren Beilstein | Physical Therapy | Physical Therapy Specialists, P.C. | 704 Thimble Shoals Boulevard, 400a, Newport News, VA 23606 |
| Hemchand Ramberan | Gastroenterology | Riverside Physician Services Inc | 101 Philip Roth St, Suite 5 A, Newport News, VA 23606-1393 |
| Dawn Marie Brown | General Surgery | Riverside Physician Services Inc | 109 Philip Roth St, Newport News, VA 23606-1393 |
| Daniel D Munn | General Surgery | Riverside Physician Services Inc | 109 Philip Roth St, Newport News, VA 23606-1393 |
| Timothy Robert Lee | Nurse Practitioner | Riverside Physician Services Inc | 101 Philip Roth St, Suite 5 A, Newport News, VA 23606-1393 |
| Alan D Chap | Critical Care (intensivists) | Riverside Physician Services Inc | 109 Philip Roth St, Newport News, VA 23606-1393 |
| Judith C Bengson | Nurse Practitioner | Riverside Physician Services Inc | 109 Philip Roth St, Newport News, VA 23606-1393 |
| Ray L James Jr. | Gastroenterology | Riverside Physician Services Inc | 101 Philip Roth St, Suite 5 A, Newport News, VA 23606-1393 |
| Brian J Billings | Colorectal Surgery (proctology) | Riverside Physician Services Inc | 109 Philip Roth St, Newport News, VA 23606-1393 |
| Find all physicians in zip 23606 | |||
| City | NEWPORT NEWS |
| Zip Code | 23606 |
| Specialty | GENERAL SURGERY |
| City + Specialty | NEWPORT NEWS + GENERAL SURGERY |
Please comment or provide details below to improve the information on Ricardo Moscoso.
| 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.