Organization Active NPI

David P Mosch DO PA

  • Family Medicine Physician
  • Oviedo, FL
National Provider Identifier
1083634844
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS5746 Issued in FL
Legal business name
DAVID P MOSCH DO PA
Practice address
100 Alexandria Blvd
Suite 1
Oviedo, FL 32765-8298
Phone
(407) 359-7997
Fax
(407) 359-6662
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
David P Mosch, DONPI 1366483687
Title
President
Phone
(407) 359-7997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS5746 FL Primary

Addresses

Primary practice location

100 Alexandria Blvd
Suite 1
Oviedo, FL 32765-8298

Mailing address

100 Alexandria Blvd
Suite 1
Oviedo, FL 32765-8298
Phone (407) 359-7997

Other identifiers 1

IdentifierTypeStateIssuer
110051610OtherFLMEDICARE RAILROAD

Other names 1

  • Oviedo Family Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040702000447 FL Part B Supplier - Clinic/Group Practice 6709863152 Receives reassigned benefits from 4 practitioners
Practice locations: Oviedo, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0947223Oviedo Family Medical Center100 Alexandria Boulevard Ste 1, Oviedo, FL 32765Certificate of waiverMay 20, 2028

National Provider Directory

National Provider Directory

Locations

100 Alexandria Blvd
Ste 100
Oviedo, FL 32765

2879 N Narcoossee Rd
Ste 104
Saint Cloud, FL 34771

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1083634844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ALEXANDRIA BLVD",
            "address_2": "SUITE 1",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658298",
            "telephone_number": "407-359-7997",
            "fax_number": "407-359-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ALEXANDRIA BLVD",
            "address_2": "SUITE 1",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658298",
            "telephone_number": "407-359-7997",
            "fax_number": "407-359-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID P MOSCH DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "MOSCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-359-7997",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110051610",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oviedo Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.