Active NPI
Amy M Moss, PAC
- Physician Assistant
- Wyomissing, PA
National Provider Identifier
1861479487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0003000
- Practice address
- 1011 Reed Ave
Suite 300
Wyomissing, PA 19610-2002 - Phone
- (610) 374-4401
- Fax
- (610) 374-7916
- NPI assigned
- Dec 23, 2005
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0003000 | MD | Primary |
Addresses
Primary practice location
1011 Reed Ave
Suite 300
Wyomissing, PA 19610-2002
Mailing address
1011 Reed Ave
Suite 300
Wyomissing, PA 19610-2002
Phone (610) 374-4401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Gastroenterology Associates of Lancaster, LTD. | Current | Accepting new patients | |
| Midatlantic Endoscopy LLC | Current | Accepting new patients | |
| Westwyo Services LP | Past | Accepting new patients |
Locations
2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500
1011 Reed Ave
Ste 300
Wyomissing, PA 19610
Phone (610) 374-4401
Interoperability endpoints
- amymoss@ddal.allscriptsdirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- Lancaster, PA
- NPI 1154422806
-
- Ambulatory Surgical Clinic/Center
- Lancaster, PA
- NPI 1255872784
-
- Ambulatory Surgical Clinic/Center
- Lancaster, PA
- NPI 1295819084
-
- Anesthesiology Physician
- Wyomissing, PA
- NPI 1881829422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480896000000",
"number": "1861479487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 REED AVE",
"address_2": "SUITE 300",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196102002",
"telephone_number": "610-374-4401",
"fax_number": "610-374-7916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 REED AVE",
"address_2": "SUITE 300",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196102002",
"telephone_number": "610-374-4401",
"fax_number": "610-374-7916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSS",
"first_name": "AMY",
"middle_name": "M",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-23",
"last_updated": "2016-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0003000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.