Active NPI
Lois Lynn Moss, MD
- Pediatrics Physician
- Brazil, IN
National Provider Identifier
1720178718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01030669
- Practice address
- 2105 E National Ave
Lois Lynn Moss MD
Brazil, IN 47834-2830 - Phone
- (812) 443-7605
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01030669 | IN | Primary |
Addresses
Primary practice location
2105 E National Ave
Lois Lynn Moss MD
Brazil, IN 47834-2830
Mailing address
2105 E National Ave
Lois Lynn Moss MD
Brazil, IN 47834-2830
Phone (812) 443-7605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160307000822 | IN | Order and Referring Only - Pediatric Medicine | 0749586436 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720178718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 E NATIONAL AVE",
"address_2": "LOIS LYNN MOSS MD",
"city": "BRAZIL",
"state": "IN",
"postal_code": "478342830",
"telephone_number": "812-443-7605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 E NATIONAL AVE",
"address_2": "LOIS LYNN MOSS MD",
"city": "BRAZIL",
"state": "IN",
"postal_code": "478342830",
"telephone_number": "812-443-7605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "LOIS",
"middle_name": "LYNN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01030669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brazil, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.