Organization Active NPI

Barry Moss MD PLLC

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1619268760
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301035120 Issued in MI
Legal business name
BARRY MOSS MD PLLC
Practice address
20232 Forestwood St
Southfield, MI 48076-5018
Phone
(248) 390-8397
Fax
(248) 932-8977
NPI assigned
Apr 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Authorized official

Name
Barry Moss, CEO
Title
Doctor
Phone
(248) 390-8397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 4301035120 MI Primary

Addresses

Primary practice location

20232 Forestwood St
Southfield, MI 48076-5018

Mailing address

3061 Christy Way
Saginaw, MI 48603-2224
Phone (989) 791-2455

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1619268760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 CHRISTY WAY",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032224",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20232 FORESTWOOD ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765018",
            "telephone_number": "248-390-8397",
            "fax_number": "248-932-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY MOSS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "248-390-8397",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301035120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.