Active NPI
Jeffrey Marc Moscow, D.C.
- Chiropractor
- Largo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8809
- Practice address
- 2200 W Bay Dr
Largo, FL 33770-1929 - Phone
- (727) 518-2977
- Fax
- (727) 518-0010
- NPI assigned
- Jul 26, 2005
- Last updated
- Sep 14, 2010
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8809 | FL | Primary |
Addresses
Primary practice location
2200 W Bay Dr
Largo, FL 33770-1929
Mailing address
2200 W Bay Dr
Largo, FL 33770-1929
Phone (727) 518-2977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 381875600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National University of Arts and Sciences, Medical Department, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3277 Fruitville Rd
Unit A2
Sarasota, FL 34237-6410
Phone (941) 954-3700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH8809 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moscow Chiropractic LLC. | Chiropractor | Current | Accepting new patients |
Locations
1071 S Tuttle Ave
Ste 1
Sarasota, FL 34237
Phone (904) 951-3700
3277 Fruitville Rd
#A2
Sarasota, FL 34237
Phone (941) 500-2736
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Dr. Moscow & Associates
- Rehabilitation Chiropractor
- Sarasota, FL
- NPI 1457536237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1316947955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 W BAY DR",
"city": "LARGO",
"state": "FL",
"postal_code": "337701929",
"telephone_number": "727-518-2977",
"fax_number": "727-518-0010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 W BAY DR",
"city": "LARGO",
"state": "FL",
"postal_code": "337701929",
"telephone_number": "727-518-2977",
"fax_number": "727-518-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSCOW",
"first_name": "JEFFREY",
"middle_name": "MARC",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8809",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381875600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
- Souleika Morris
- Morton Plant Health Services Inc (Bardmoor Outpatient Center)
- Morton Plant Health Services Inc (Bardmoor Rehab Services)
- Morton Plant Mease Health Services Inc (Boi Bardmoor)
- Morton Plant Mease Health Services Inc (Bardmoor Outpatient Center)
- Bertishia Lashanti Mosley, CNA
- Philip Mosso, PEER SPECIALIST
- Motion Medical Group, LLC
- Jordan Amber Mott, OTR
- Mount Thielsen Inpatient Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.