Organization Active NPI

Todd a. Moffatt, MD, P.a.

  • Surgery Physician
  • Waco, TX
National Provider Identifier
1649572272
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
J2894 Issued in TX
Legal business name
TODD A. MOFFATT, MD, P.A.
Practice address
1000 W Highway 6
Suite 400
Waco, TX 76712-3786
Phone
(254) 744-7881
NPI assigned
Dec 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Todd A Moffatt, MDNPI 1396744512
Title
Physician/Owner
Phone
(254) 744-7881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X J2894 TX Primary

Addresses

Primary practice location

1000 W Highway 6
Suite 400
Waco, TX 76712-3786

Mailing address

PO Box 21925
Waco, TX 76702-1925
Phone (254) 744-7881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110408000088 TX Part B Supplier - Clinic/Group Practice 5496939845 Receives reassigned benefits from 1 practitioner
Practice locations: Waco, TX

National Provider Directory

National Provider Directory

Locations

1000 W State Highway 6
Ste 400
Waco, TX 76712
Phone (254) 744-7881

1000 W State Highway 6
Ste 410
Woodway, TX 76712
Phone (254) 230-1234

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1649572272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21925",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767021925",
            "telephone_number": "254-744-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W HIGHWAY 6",
            "address_2": "SUITE 400",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767123786",
            "telephone_number": "254-744-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD A. MOFFATT, MD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "MOFFATT",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "254-744-7881",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "J2894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.