Organization Active NPI

L.R. Moses, DO, Association

  • Surgery Physician
  • Sweetwater, TX
National Provider Identifier
1801080262
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E6855 Issued in TX
Legal business name
L.R. MOSES, DO, ASSOCIATION
Practice address
301 Jenny George LN
Ste 6
Sweetwater, TX 79556-7152
Phone
(325) 235-3800
Fax
(325) 235-3313
NPI assigned
Aug 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Lufkin R Moses, D.O.
Title
Doctor - Owner
Phone
(325) 235-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X E6855 TX Primary

Addresses

Primary practice location

301 Jenny George LN
Ste 6
Sweetwater, TX 79556-7152

Mailing address

301 Jenny George LN
Ste 6
Sweetwater, TX 79556-7152
Phone (325) 235-3800

Other identifiers 2

IdentifierTypeStateIssuer
139498301MedicaidTX
0049JLOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

200 E Arizona Ave
Ste 5
Sweetwater, TX 79556
Phone (325) 235-3800

202 E Arizona Ave
Ste 5
Sweetwater, TX 79556
Phone (325) 235-3800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1801080262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 JENNY GEORGE LN",
            "address_2": "STE 6",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795567152",
            "telephone_number": "325-235-3800",
            "fax_number": "325-235-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 JENNY GEORGE LN",
            "address_2": "STE 6",
            "city": "SWEETWATER",
            "state": "TX",
            "postal_code": "795567152",
            "telephone_number": "325-235-3800",
            "fax_number": "325-235-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.R. MOSES, DO, ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "LUFKIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR - OWNER",
        "authorized_official_telephone_number": "325-235-3800",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "E6855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139498301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0049JL",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sweetwater, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.