Michael Maurice Moss, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

01036367 Issued in IN

Practice address

520 S 7TH St
Vincennes, IN 47591-1038

Phone

(812) 882-6717

Fax

(812) 882-8620

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Vincennes Radiology, Inc.

  • Diagnostic Radiology Physician
  • Vincennes, IN
  • NPI 1205944717
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1164536470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1466",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475917466",
            "telephone_number": "812-882-6717",
            "fax_number": "812-882-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S 7TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911038",
            "telephone_number": "812-882-6717",
            "fax_number": "812-882-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "MICHAEL",
        "middle_name": "MAURICE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01036367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100327340",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Tyler Morris, DO
• Sarah Morris, LCSW
• Kaitlyn Morrison
• Sarah Morrison, FNP
• Heather Lanell Moser, MD
• Catherine S Mouzin, FNP
• Jackie Ann Mowrer, LCSW
• Mso Clinics, Inc.
• Austin Roy Muranaka, D.P.M.
• Wendy Murphy, COTA

• Diagnostic Radiology Physician in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Diagnostic Radiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.