William E Moss PSC

Primary specialty

SpecialistTaxonomy code 174400000X

License

16800 Issued in KY

Legal business name

WILLIAM E MOSS PSC

Practice address

4801 Manslick Rd
Suite 100
Louisville, KY 40216-4097

Phone

(502) 366-0392

Fax

(502) 366-7086

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William E Moss, M.D.

Title

President Owner

Phone

(502) 366-0392

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1376641027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 MANSLICK RD",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164097",
            "telephone_number": "502-366-0392",
            "fax_number": "502-366-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 MANSLICK RD",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164097",
            "telephone_number": "502-366-0392",
            "fax_number": "502-366-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM E MOSS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "502-366-0392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "16800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90004094",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Summers Willett, RPH
• Caroline S Willette, M.D.
• David Emory Willey, D.M.D.
• William a. Phillips DMD, PSC
• William D Newman DMD PLLC
• William H Haney MD PLLC Ultimate MD
• William P Owen MD PSC
• William P Williamson MD LLC
• William R. Johnson, DMD
• William S French MD

• Specialist in Louisville, KY
• Providers in Louisville, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.