Individual provider Active NPI

David Alexander Mosman, MD

  • Pediatrics Physician
  • Wheeling, WV
National Provider Identifier
1033110572
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
21710 Issued in WV
Practice address
30 Medical Park
Suite 211
Wheeling, WV 26003-6391
Phone
(304) 242-3300
Fax
(304) 242-8964
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 21710 WV Primary

Addresses

Primary practice location

30 Medical Park
Suite 211
Wheeling, WV 26003-6391

Mailing address

30 Medical Park
Suite 211
Wheeling, WV 26003-6391
Phone (304) 242-3300

Other identifiers 5

IdentifierTypeStateIssuer
21710OtherHEALTH PLAN OF UPPER OH V
2521195MedicaidOH
704201OtherUPMC
001718189OtherMOUNTAIN STATE BCBS
3130525OtherMAMSI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041116001089 WV Practitioner - Pediatric Medicine 7113981416 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Reynolds Memorial Hospital, Inc CurrentSince Jun 1, 2024 Accepting new patients
Wheeling Hospital Inc CurrentSince Apr 1, 2022 Accepting new patients
Wheeling Hospital Inc Past Accepting new patients
Easter Seal Rehabilitation Center, Inc. PastSince Oct 10, 2005 Accepting new patients
Wheeling Hospital Inc Past Accepting new patients
Wheeling Hospital, Inc. Past Accepting new patients

Locations

800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520

407 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-3012

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1033110572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MEDICAL PARK",
            "address_2": "SUITE 211",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036391",
            "telephone_number": "304-242-3300",
            "fax_number": "304-242-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MEDICAL PARK",
            "address_2": "SUITE 211",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036391",
            "telephone_number": "304-242-3300",
            "fax_number": "304-242-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSMAN",
        "first_name": "DAVID",
        "middle_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "21710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN OF UPPER OH V",
            "identifier": "21710",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2521195",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "704201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "001718189",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "3130525",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.