SHUBAN K MOZA MD PC (NPI# 1346370871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346370871 |
| Entity Type | Organization |
| Organization Name | SHUBAN K MOZA MD PC |
| Other Organization Name | SHUBAN K MOZA MD PROF CORP |
| Practice Address |
1614 N James St Rome NY 13440 |
| Practice Telephone | 3153360565 |
| Practice Fax Number | 3153376533 |
| Mailing Telephone | 3153360565 |
| Mailing Fax Number | 3153376533 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SHUBAN KISHEN MOZA (PRES CEO) |
| Authorized Official Telephone | 3153360565 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Shuban K Moza MD Prof Corp | Other Name - Individual/Organization |
| Street Address |
1614 N JAMES ST |
| City | ROME |
| State | NY |
| Zip Code | 13440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124272638 | Michael I Levi Medical Pllc | Internal Medicine | 1614 N James St, Rome, NY 13440-2830 | 2008-11-11 |
| 1023277464 | Michael Ira Levi | Internal Medicine | 1614 N James St, Rome, NY 13440-2830 | 2008-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
| 1205452810 | Nichole Elizabeth Pollard | Optometrist | 1320 Floyd Ave, Suite 1, Rome, NY 13440 | 2020-06-19 |
| 1235750662 | Nicole Schrader | Social Worker | 7214 Bunal Blvd, Rome, NY 13440 | 2020-04-27 |
| 1457908212 | Darlene A. Sherman | Technician | 101 Glen Road S., Rome, NY 13440 | 2019-08-26 |
| 1841846847 | Delores A Smith | Technician | 7374 Davis Road, Rome, NY 13440 | 2019-08-15 |
| 1609342807 | Kent A Myers | Occupational Therapist | 200 West Dominic St, Rome, NY 13440 | 2018-10-16 |
| 1013376870 | Bonnie Flansburg | Physical Therapy Assistant | 101 W Liberty Street, Rome, NY 13440 | 2016-02-22 |
| 1760888689 | Ashley Elizabeth Bloomquist | Pharmacist | 808 West Chestnut Street, Rome, NY 13440 | 2014-11-05 |
| 1902231483 | Stephanie Ostalkiewicz | Licensed Practical Nurse | 701 Camp Street, Rome, NY 13440 | 2013-09-04 |
| 1992142251 | Tammy S. Guiliano | Registered Nurse | 401 Turin Street, The New York State School for The Deaf, Rome, NY 13440 | 2013-05-28 |
| Find all providers in zip 13440 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700329133 | Thomas Tarnay | Surgery | 108 Nickerson Ln, Rome, ME 04963-3239 | 2016-12-03 |
| 1598765042 | Shuban K Moza | Surgery | 267 Hill Rd, Suite 300, Rome, NY 13441-4203 | 2005-07-27 |
| 1174960959 | Wound Care Specialists, LLC | Surgery | 2304 Shorter Ave Nw, Rome, GA 30165-1944 | 2013-06-03 |
| 1316208002 | Robert Firth Pickels Jr. | Surgery | 267 Hill Road, Rome, NY 13441 | 2012-05-30 |
| 1083843627 | Peter David Adams | Surgery | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2009-07-03 |
| 1437378460 | Surgical Associates of Rome Md PC | Surgery | 1617 N James St, Suite 300, Rome, NY 13440 | 2007-04-25 |
| 1740318070 | Jessica Lisa Hurwitz | Surgery | 267 Hill Rd, Suite 300, Rome, NY 13441-4239 | 2007-02-28 |
| 1588700967 | Amjad Rashid | Surgery | 1617 N James St, Suite 300, Rome, NY 13440 | 2007-01-30 |
| 1356407878 | John Kelly Mayfield | Surgery | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2006-12-29 |
| 1336204544 | John Ryland Scott | Surgery | 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 | 2006-12-27 |
| Find all providers in ROME | ||||
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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.