Active NPI
Todd a. Moffatt, MD, P.a.
- Surgery Physician
- Waco, TX
National Provider Identifier
1649572272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- J2894
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd A Moffatt, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgery Physician
- Waco, TX
- NPI 1396744512
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.