Mosser Corporation

Primary specialty

ContractorTaxonomy code 171W00000X

License

37681893 Issued in IL

Legal business name

MOSSER CORPORATION

Doing business as

Mosser's Shoes

Practice address

2460 Wabash Ave
Springfield, IL 62704-4201

Phone

(217) 787-7022

Fax

(217) 787-7067

NPI assigned

Feb 2, 2007

Last updated

Aug 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Chandra D Coffee

Title

Management Services Coordinator

Phone

(217) 351-5022

Specialties & licenses 1

Addresses

Other names 1

• Mosser's Shoes Doing business as

Locations

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1669510509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1037",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618241037",
            "telephone_number": "217-351-5022",
            "fax_number": "217-351-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 WABASH AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044201",
            "telephone_number": "217-787-7022",
            "fax_number": "217-787-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSSER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "COFFEE",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGEMENT SERVICES COORDINATOR",
        "authorized_official_telephone_number": "217-351-5022",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "IL",
            "license": "37681893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mosser's Shoes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Demetria J Moscardelli, LCSW
• Marcelon Alexzander Mosley
• Robert G. Mosley, M.D.
• Jorge Enrique Mosquera Castrillon, DDS
• Nicole R Moss, APRN
• Lyndsie Patricia Most-Gephart, COTA
• Mother Tree Counseling LLC
• Hannah Motley
• Isabella Mott, RBT
• Gaylan Wayne Moushon, O.D.

• Contractor in Springfield, IL
• Providers in Springfield, IL by specialty
• Contractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.