Organization Active NPI

Norman W Moss MD, Inc PS

  • Family Medicine Physician
  • Yakima, WA
National Provider Identifier
1669640660
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00008347 Issued in WA
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

Updated by the provider on Aug 14, 2009

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
CJ3618OtherWARAILROAD MEDICARE PIN
7107857MedicaidWA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.