Active NPI
William Edward Moss, M.D.
- Orthopaedic Surgery Physician
- Louisville, KY
National Provider Identifier
1811930464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 16800
- Practice address
- 4801 Manslick Rd
Suite 100
Louisville, KY 40216-4097 - Phone
- (502) 366-0392
- Fax
- (502) 366-7086
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 16800 | KY | Primary |
Addresses
Primary practice location
4801 Manslick Rd
Suite 100
Louisville, KY 40216-4097
Mailing address
4801 Manslick Rd
Suite 100
Louisville, KY 40216-4097
Phone (502) 366-0392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64168008 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16800 | KY | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274140800000",
"number": "1811930464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 MANSLICK RD",
"address_2": "SUITE 100",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402164097",
"telephone_number": "502-366-0392",
"fax_number": "502-366-7086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 MANSLICK RD",
"address_2": "SUITE 100",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402164097",
"telephone_number": "502-366-0392",
"fax_number": "502-366-7086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "WILLIAM",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2010-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KY",
"license": "16800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64168008",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.