EDDIE SPERLING MOZEN (NPI# 1356373617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356373617 |
| Entity Type | Individual |
| Full Name | EDDIE SPERLING MOZEN |
| Credential | MD |
| Practice Address |
10121 Pine Ave Truckee CA 96160 |
| Mailing Address |
Po Box 805 Nevada City CA 95959-0805 |
| Practice Telephone | 5305823200 |
| Practice Fax Number | 5305876123 |
| Mailing Telephone | 5302711791 |
| Mailing Fax Number | 5302702090 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A89923 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G507300 | 05 |
| Street Address |
10121 PINE AVE |
| City | TRUCKEE |
| State | CA |
| Zip Code | 96160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467438358 | Thomas Semrad | Internal Medicine | 10121 Pine Ave, Truckee, CA 96161-4835 | 2005-12-21 |
| 1639799190 | Susan Jean Train | Registered Nurse | 10121 Pine Ave, 2nd Floor Gene Upshaw Memorial Tahoe Forest Cancer Cent, Truckee, CA 96161 | 2020-04-24 |
| 1124658067 | Marianna Grace Bettina Pucillo | Nurse Practitioner | 10121 Pine Ave, Truckee, CA 96161-4835 | 2020-01-20 |
| 1306484316 | Mary Jane Blount | Counselor | 10121 Pine Ave, Truckee, CA 96161-4856 | 2019-12-20 |
| 1760038772 | Tahoe Forest Hospital District | Clinic/Center | 10121 Pine Ave, Truckee, CA 96161-4835 | 2019-08-15 |
| 1518442458 | Alexis Auckenthaler | Social Worker | 10121 Pine Ave, Truckee, CA 96161-4835 | 2018-09-26 |
| 1053767459 | Thomas Andrew Luscomb | Anesthesiology | 10121 Pine Ave, Truckee, CA 96161-4835 | 2016-05-04 |
| 1851752802 | Lynelle Ashley Tyler | Psychologist | 10121 Pine Ave, Truckee, CA 96161-4835 | 2016-03-17 |
| 1730547951 | Kristin O'connor | Social Worker | 10121 Pine Ave, Truckee, CA 96161-4835 | 2016-02-02 |
| 1154786168 | Tatiana Fields | Physician Assistant | 10121 Pine Ave, Truckee, CA 96161-4835 | 2015-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972078640 | Ma Reyna Sanchez Correa | Community Health Worker | 10833 Donner Pass Rd Ste 101, Truckee, CA 96160 | 2018-10-09 |
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255703740 | Hippomd Inc. | Emergency Medicine | 11025 Pioneer Trl, Truckee, CA 96161-0281 | 2015-10-23 |
| 1215365218 | California Emergency Physicians Medical Group, A Professional Corp | Emergency Medicine | 2104 N. Village Drive, Suite L, Truckee, CA 96161 | 2013-10-29 |
| 1326365651 | John Dietrich Anderson | Emergency Medicine | 2104 N Village Dr Ste L, Truckee, CA 96161-4312 | 2010-04-26 |
| 1336492446 | Cep America - California | Emergency Medicine | 10121 Pine Ave, Truckee, CA 96161-4835 | 2012-10-26 |
| 1194914929 | Casey Thomas Jowers | Emergency Medicine | 10121 Pine Ave, Truckee, CA 96161-4835 | 2007-10-17 |
| 1225236433 | Adrian L Delatorre | Emergency Medicine | 10121 Pine Ave, Truckee, CA 96160 | 2007-07-10 |
| 1558572099 | Jacquelyn H Salas | Emergency Medicine | 10121 Pine Ave, Truckee, CA 96161 | 2007-05-25 |
| 1639257728 | Christopher K. Skaff | Emergency Medicine | 10121 Pine Ave, Truckee, CA 96161-4835 | 2006-11-02 |
| 1548277692 | Michael Bruce Macquarrie | Emergency Medicine | 10121 Pine Ave, Truckee, CA 96160 | 2006-08-02 |
| 1427085364 | Syndi Keats | Emergency Medicine | 10121 Pine Ave, Truckee, CA 96161-4835 | 2006-06-27 |
| Find all providers in TRUCKEE | ||||
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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.