Richard Moss MD

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

01039795A Issued in IN

Legal business name

RICHARD MOSS MD

Practice address

721 W 13TH St
Suite 208
Jasper, IN 47546-1855

Phone

(812) 634-6666

Fax

(812) 634-6669

NPI assigned

Feb 2, 2016

Organization subpart

No

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

Authorized official

Name

Lisa Yucatonis, LPN

Title

Office Manager

Phone

(812) 634-6666

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Richard Moss, M.D.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Jasper, IN
  • NPI 1326097619
  NPD (past)

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1154789436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W 13TH ST",
            "address_2": "SUITE 208",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475461855",
            "telephone_number": "812-634-6666",
            "fax_number": "812-634-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W 13TH ST",
            "address_2": "SUITE 208",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475461855",
            "telephone_number": "812-634-6666",
            "fax_number": "812-634-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD MOSS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "YUCATONIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "812-634-6666",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IN",
            "license": "01039795A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207Y00000X",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Rehana Ramgobin, MD
• Renal Life Link Inc
• Angela Rennie, PTA
• Restoring Life LLC
• Jacob Rexing, DDS
• Jennifer Lynn Richardson, M.D.
• Emma Nicole Rickenbaugh
• Riecker Chiropractic
• Bryan A Riecker
• David J Rizk, MD

• Medical Specialty Clinic/Center in Jasper, IN
• Providers in Jasper, IN by specialty
• Medical Specialty Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.