Gmosch MD, LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GMOSCH MD, LTD

Practice address

1036 Park Avenue Ext
Clearfield, PA 16830-4028

Phone

(814) 765-1681

Fax

(814) 765-7756

NPI assigned

Dec 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. George C Mosch II, MD

Title

Physician

Phone

(814) 765-1681

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1912328006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 PARK AVENUE EXT",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168304028",
            "telephone_number": "814-765-1681",
            "fax_number": "814-765-7756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 PARK AVENUE EXT",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168304028",
            "telephone_number": "814-765-1681",
            "fax_number": "814-765-7756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GMOSCH MD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "MOSCH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "814-765-1681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "181072",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010174600001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Barry Gormont, CRNA
• Ashlee Graham
• Jessica Graham
• Susan L Grancey, RPH

• Family Medicine Physician in Clearfield, PA
• Providers in Clearfield, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.