NPIMap

Organization Active NPI

Tallahassee Memorial Healthcare Inc

Doing business as Tallahassee Memorial Palliative Care/ Pastoral Care

  • Family Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1346492527
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TALLAHASSEE MEMORIAL HEALTHCARE INC
Doing business as
Tallahassee Memorial Palliative Care/ Pastoral Care
Practice address
1300 Miccosukee Rd
Attn: Palliative Care/Pastorial Services
Tallahassee, FL 32308-5054
Phone
(850) 431-4671
Fax
(850) 431-6987
NPI assigned
Oct 21, 2008
Last updated
Mar 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Authorized official

Name
Mr. Rob L Moss
Title
Executive Director
Phone
(850) 431-6256

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X

Addresses

Primary practice location

1300 Miccosukee Rd
Attn: Palliative Care/Pastorial Services
Tallahassee, FL 32308-5054

Mailing address

1309 Thomasville Rd
Tallahassee, FL 32303-5607
Phone (850) 431-6380

Other names 1

  • Tallahassee Memorial Palliative Care/ Pastoral Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tallahassee Memorial Em38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1346492527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 THOMASVILLE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035607",
            "telephone_number": "850-431-6380",
            "fax_number": "850-431-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MICCOSUKEE RD",
            "address_2": "ATTN: PALLIATIVE CARE/PASTORIAL SERVICES",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085054",
            "telephone_number": "850-431-4671",
            "fax_number": "850-431-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLAHASSEE MEMORIAL HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "ROB",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "850-431-6256",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tallahassee Memorial Palliative Care/ Pastoral Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.