Active NPI
David Alexander Mosman, MD
- Pediatrics Physician
- Wheeling, WV
National Provider Identifier
1033110572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 21710
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21710 | Other | HEALTH PLAN OF UPPER OH V | |
| 2521195 | Medicaid | OH | |
| 704201 | Other | UPMC | |
| 001718189 | Other | MOUNTAIN STATE BCBS | |
| 3130525 | Other | MAMSI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reynolds Memorial Hospital, Inc | Current | Accepting new patients | |
| Wheeling Hospital Inc | Current | Accepting new patients | |
| Wheeling Hospital Inc | Past | Accepting new patients | |
| Easter Seal Rehabilitation Center, Inc. | Past | 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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Glen Dale, WV
- NPI 1518068014
-
- Family Medicine Physician
- Wheeling, WV
- NPI 1548923923
-
- Pediatric Rehabilitation Medicine Physician
- Wheeling, WV
- NPI 1134124647
-
- General Acute Care Hospital
- Wheeling, WV
- NPI 1104821305
-
- Clinic/Center
- Wheeling, WV
- NPI 1558664037
-
- Anesthesiology Physician
- Wheeling, WV
- NPI 1922282581
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.