Active NPI
Jonathan M Mosley, D.O.
- Family Medicine Physician
- Owensboro, KY
National Provider Identifier
1588922769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 03435
- Practice address
- 3400 New Hartford Rd Ste a
Owensboro, KY 42303-1705 - Phone
- (270) 684-5034
- Fax
- (270) 685-2053
- NPI assigned
- Apr 25, 2012
- Last updated
- Sep 23, 2021
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 03435 | KY | Primary |
Addresses
Primary practice location
3400 New Hartford Rd Ste a
Owensboro, KY 42303-1705
Mailing address
3400 New Hartford Rd Ste a
Owensboro, KY 42303-1705
Phone (270) 684-5034
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100205500 | Medicaid | KY | |
| 300014580 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmosley39198@direct.owensborohealth.org | Owensboro Health Medical Group, Inc. |
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 Osteopathy
Interoperability endpoints
- jmosley39198@direct.owensborohealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1588922769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 NEW HARTFORD RD STE A",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423031705",
"telephone_number": "270-684-5034",
"fax_number": "270-685-2053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 NEW HARTFORD RD STE A",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423031705",
"telephone_number": "270-684-5034",
"fax_number": "270-685-2053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSLEY",
"first_name": "JONATHAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-25",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "03435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100205500",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300014580",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmosley39198@direct.owensborohealth.org",
"affiliation": "Y",
"affiliationName": "Owensboro Health Medical Group, Inc.",
"address_1": "1200 Barrett Blvd",
"city": "Henderson",
"state": "KY",
"country_code": "US",
"postal_code": "424204950",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.