Active NPI
Amy A Mosher, MD
- Diagnostic Radiology Physician
- St Louis, MO
National Provider Identifier
1245257922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- R4H51
- Practice address
- 3015 N New Ballas Rd
St Louis, MO 63131 - Phone
- (314) 966-5180
- Fax
- (314) 821-2180
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | R4H51 | MO | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 036114248 | IL |
Addresses
Primary practice location
3015 N New Ballas Rd
St Louis, MO 63131
Mailing address
55 Westport PLZ
Suite 300
Saint Louis, MO 63146-3109
Phone (314) 548-4772
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24349 | Other | BLUE CHOICE | |
| 018012444 | Other | CARE | |
| 300066996 | Other | RR CARE | |
| 6661 | Other | HCARE USA | |
| 018012444 | Other | MO CARE | |
| 398021 | Other | HLT PART | |
| 010013128 | Other | MO CARE | |
| 1390 | Other | MO BLUE | |
| 203077003 | Other | MO CAID | |
| 300066989 | Other | RR CARE | |
| E12419 | Other | GATE WAY | |
| 431725842MID | Other | MERCY | |
| 141835 | Other | H LINK | |
| 203077003 | Other | MC MCAID | |
| 2781 | Other | GHP | |
| 0090000352 | Other | IL BLUE | |
| 1650512 | Other | PH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036114248 | IL | MD | Diagnostic Radiology Physician |
| R4H51 | MO | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237334400000",
"number": "1245257922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WESTPORT PLZ",
"address_2": "SUITE 300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631463109",
"telephone_number": "314-548-4772",
"fax_number": "314-548-4748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 N NEW BALLAS RD",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63131",
"telephone_number": "314-966-5180",
"fax_number": "314-821-2180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSHER",
"first_name": "AMY",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2009-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "R4H51",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036114248",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "24349",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE",
"identifier": "018012444",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR CARE",
"identifier": "300066996",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCARE USA",
"identifier": "6661",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO CARE",
"identifier": "018012444",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HLT PART",
"identifier": "398021",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO CARE",
"identifier": "010013128",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO BLUE",
"identifier": "1390",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO CAID",
"identifier": "203077003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR CARE",
"identifier": "300066989",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATE WAY",
"identifier": "E12419",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY",
"identifier": "431725842MID",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "H LINK",
"identifier": "141835",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC MCAID",
"identifier": "203077003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHP",
"identifier": "2781",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL BLUE",
"identifier": "0090000352",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PH PLAN",
"identifier": "1650512",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in St Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.