C.V. Moses, D.O. Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

C.V. MOSES, D.O. INC.

Doing business as

Southside Medical

Practice address

8222 S. Harvard Ave
Tulsa, OK 74136-1613

Phone

(918) 493-3838

NPI assigned

Oct 17, 2008

Organization subpart

No

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

Authorized official

Name

Christoper Vincent Moses, D.O.

Title

Physician

Phone

(918) 493-3838

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SOUTHSIDE MEDICAL Doing business as

Locations

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1710139076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8222 S. HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361613",
            "telephone_number": "918-493-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8222 S. HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361613",
            "telephone_number": "918-493-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.V. MOSES, D.O. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "CHRISTOPER",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "918-493-3838",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100023050A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHSIDE MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.