Edan M Mossbrugger

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

176893 Issued in OH

Practice address

76 Ashwood Dr
Tiffin, OH 44883-1908

Phone

(419) 448-9440

Fax

(419) 448-5175

NPI assigned

Jun 18, 2021

Sex

Female

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": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1992374615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704737",
            "telephone_number": "419-557-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 ASHWOOD DR",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448831908",
            "telephone_number": "419-448-9440",
            "fax_number": "419-448-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSSBRUGGER",
        "first_name": "EDAN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "176893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Montgomery
• Shelly Sue Moore
• Romena I Moorjani, M.D.
• Emily Elizabeth Morman
• Megan Marinn Morter, M.A., CF-SLP
• Samantha Michelle Mounce, PT
• Abigail Musgrave, ED.S.
• Ryan Musgrave
• Jil T Musil, P.T.
• Madison Myers

• Case Manager/Care Coordinator in Tiffin, OH
• Providers in Tiffin, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.