DR. MOSES OSORO (NPI# 1316239957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316239957 |
| Entity Type | Individual |
| Full Name | DR. MOSES OSORO |
| Credential | M.D. |
| Practice Address |
266 Joule St Alcoa TN 37701-2422 |
| Mailing Address |
11511 Shadow Creek Pkwy Pearland TX 77584-7298 |
| Practice Telephone | 8659843864 |
| Practice Fax Number | 8653804095 |
| Mailing Telephone | 7134420000 |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2020-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | S8225 | TX | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
S8225 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD050405 | TN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 106 Vision Park Blvd, Shenandoah, TX 773843000 | 7134421800 | |
| 25553 U.S. Highway 59, Porter, TX 773655500 | 7134422100 |
| Street Address |
266 JOULE ST |
| City | ALCOA |
| State | TN |
| Zip Code | 37701-2422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871590943 | James Bradley Ray | Surgery | 266 Joule St, Alcoa, TN 37701-2422 | 2005-07-05 |
| 1831745371 | Julia Renee Zimmerman | Nurse Practitioner | 266 Joule St, Alcoa, TN 37701-2422 | 2019-08-12 |
| 1275190449 | Mark A Reiff | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2019-05-23 |
| 1487114955 | Caroline H Lutz | Registered Nurse | 266 Joule St, Alcoa, TN 37701-2422 | 2019-03-21 |
| 1427533488 | Jacob West | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2018-09-26 |
| 1740763184 | Sara Rowe | Nurse Practitioner | 266 Joule St, Alcoa, TN 37701-2422 | 2018-09-12 |
| 1568954329 | Emma Rose Niethammer | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2018-06-06 |
| 1922596261 | Victoria Sissom | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2018-04-23 |
| 1154818672 | Katherine Whaley | Physician Assistant | 266 Joule St, Alcoa, TN 37701 | 2018-04-19 |
| 1518482850 | Daniel Hill Dominique | Nurse Practitioner | 266 Joule St, Alcoa, TN 37701-2422 | 2017-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598070807 | Tennessee Vein Center, Pllc | Clinic/Center | 203 Corporate Place, Alcoa, TN 37701 | 2010-08-11 |
| 1790099638 | Bill Charles Barker | Pharmacist | 225 N. Hall Road, Walgreens, Alcoa, TN 37701 | 2010-08-03 |
| 1235365453 | Marsh Chiropractic & Wellness Center, LLC | Chiropractor | 1080 Hunters Crossing, Alcoa, TN 37701 | 2009-06-02 |
| 1457485187 | Romeo San Diego Gomez | Physical Therapist | 101 Gill Street, Alcoa, TN 37701 | 2007-03-15 |
| 1811039266 | Khaled Othman Abumayaleh | Optometrist | 1030 Hunters Crossing Lane, Alcoa, TN 37701 | 2007-02-13 |
| 1861558777 | Paula Kay Wolfe | Technician/Technologist | 237 N Calderwood St, Alcoa, TN 37701 | 2006-12-28 |
| 1194893883 | K Darrel Clagough | Dentist | 310 Sanderson Street, Alcoa, TN 37701 | 2006-12-01 |
| 1225106008 | David C Finch | Physical Therapist | 1107 N Hall Rd Ste 200, Alcoa, TN 37701 | 2006-12-01 |
| 1366517070 | Gabriel C Edaugal | Physical Therapist | 101 Gill St, Alcoa, TN 37701 | 2006-11-21 |
| 1386617462 | Alcoa Senior Center | Clinic/Center | 2445 Calderwood St., Suite C2, Alcoa, TN 37701 | 2006-02-09 |
| Find all providers in zip 37701 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861690802 | Andrew Gregory Anthony De Nazareth | Internal Medicine | 266 Joule St, Alcoa, TN 37701-2422 | 2007-07-10 |
| 1760569875 | Alan L Smuckler | Internal Medicine | 266 Joule St, Alcoa, TN 37701-2422 | 2006-11-01 |
| 1639257629 | Michael P Gallagher | Internal Medicine | 266 Joule St, Alcoa, TN 37701-2422 | 2006-11-01 |
| 1326126269 | Peter R Scott | Internal Medicine | 266 Joule St, Alcoa, TN 37701-2422 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935437 | Cvc Pllc | Internal Medicine | 22 Deepwood Dr, Jackson, TN 38305-9679 | 2020-06-02 |
| 1073085189 | Heart Center Usa Incorporated | Internal Medicine | 6500 Kirby Gate Blvd, Memphis, TN 38119-2673 | 2018-12-31 |
| 1700357035 | Morristown Heart, Pllc | Internal Medicine | Morristown Heart, Pllc, 735 Mcfarland Street, Morristown, TN 37814 | 2018-12-16 |
| 1902353444 | Hh Physician Care-elkton Tennessee | Internal Medicine | 1446 Bryson Road, Ardmore, TN 38449 | 2016-09-01 |
| 1902352750 | Rose Marie Robertson | Internal Medicine | 4003 Newman Pl, Nashville, TN 37204-4308 | 2016-08-31 |
| 1013374073 | Amg Crockett LLC | Internal Medicine | 1611 S Locust Ave, Suite 200b, Lawrenceburg, TN 38464-4055 | 2016-01-21 |
| 1821488727 | Bruce Wilson Md PC | Internal Medicine | 5885 Airline Rd, # 985, Arlington, TN 38002-5127 | 2015-01-29 |
| 1982013215 | Blue Ridge Medical Management Corporation | Internal Medicine | 1901 S Shady St Ste 1, Mountain City, TN 37683-2021 | 2014-08-12 |
| 1871835892 | Robert Maxwell Smith | Internal Medicine | 1004 Deep Woods Trl, Brentwood, TN 37027-6309 | 2013-03-18 |
| 1750630794 | David Marc Mirvis | Internal Medicine | 5676 Redding Ave, Memphis, TN 38120-1848 | 2012-09-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.