Clarice Moussalli, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

0101035100 Issued in VA

Practice address

4374 New Town Ave
Ste 100
Williamsburg, VA 23188-2865

Phone

(757) 259-1900

Fax

(757) 259-1901

NPI assigned

Feb 24, 2006

Sex

Female

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

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1487620035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4374 NEW TOWN AVE",
            "address_2": "STE 100",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882865",
            "telephone_number": "757-259-1900",
            "fax_number": "757-259-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4374 NEW TOWN AVE",
            "address_2": "STE 100",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231882865",
            "telephone_number": "757-259-1900",
            "fax_number": "757-259-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSSALLI",
        "first_name": "CLARICE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101035100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010163927",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert F Morrison, DMD
• Mark A Mortier
• D Russell Mosher, PT
• Lisa Jill Motter, P.T.
• Nancy-Lu Friese Moul, C.F.N.P.
• Isabella Moutinho
• Nicole Amber Frohne Moyer, MED, EDS
• Bryce Mueller
• Daniel Michael Muench, MD
• Carmen M. Mulherin, PT, DPT

• Emergency Medicine Physician in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Emergency Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.