Michael Mosciano, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126000212 Issued in VA

Practice address

3728 Lilac Dr
Portsmouth, VA 23703-3432

Phone

(757) 472-4998

NPI assigned

Jan 16, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389830400000",
    "number": "1811319411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3728 LILAC DR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033432",
            "telephone_number": "757-472-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3728 LILAC DR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033432",
            "telephone_number": "757-472-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCIANO",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-16",
        "last_updated": "2014-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126000212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morrison Dental Group Portsmouth PLLC
• Patrick Brian Morrissey, M.D.
• Ebony Morrow, RN
• Ann Marie Morse, APRN-BC FNP
• Deborah Thiessen Mosciano, LPTA
• Dhayma Moses, SLP
• Richard Parnell Moses, MD
• Stephanie Nicole Moses, DO
• Nathan Adam Moss Sr., M.D.
• Nicole Moss, MD

• Athletic Trainer in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; 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.