Active NPI
Norman W Moss MD, Inc PS
- Family Medicine Physician
- Yakima, WA
National Provider Identifier
1669640660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00008347
- Legal business name
- NORMAN W MOSS MD, INC PS
- Practice address
- 215 S 11TH Ave Ste D
Yakima, WA 98902-3253 - Phone
- (509) 248-6192
- NPI assigned
- Feb 13, 2008
- 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
- Pamela Meyers
- Title
- Billing Manager
- Phone
- (509) 469-1903
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00008347 | WA | Primary |
Addresses
Primary practice location
215 S 11TH Ave Ste D
Yakima, WA 98902-3253
Mailing address
215 S 11TH Ave Ste D
Yakima, WA 98902-3253
Phone (509) 248-6192
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CJ3618 | Other | WA | RAILROAD MEDICARE PIN |
| 7107857 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
215 S 11th Ave
Yakima, WA 98902
Phone (509) 248-6192
215 S 11th Ave
Ste D
Yakima, WA 98902
Phone (509) 248-6192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250208000000",
"number": "1669640660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 S 11TH AVE STE D",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023253",
"telephone_number": "509-248-6192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 S 11TH AVE STE D",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023253",
"telephone_number": "509-248-6192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORMAN W MOSS MD, INC PS",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-13",
"last_updated": "2009-08-14",
"status": "A",
"authorized_official_last_name": "MEYERS",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "509-469-1903"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00008347",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "CJ3618",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7107857",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.