MARK L MOSTER (NPI# 1376511980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376511980 |
| Entity Type | Individual |
| Full Name | MARK L MOSTER |
| Credential | MD |
| Practice Address |
840 Walnut St Ste 930 Philadelphia PA 19107-5109 |
| Practice Telephone | 2159283130 |
| Practice Fax Number | 2155921923 |
| Mailing Telephone | 2159283130 |
| Mailing Fax Number | 2155921923 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2019-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD024148E | PA | Allopathic & Osteopathic Physicians |
| Y | 207WX0109X |
Ophthalmology Specialization: Neuro-ophthalmology |
MD024148E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0009685800003 | 05 |
| Street Address |
840 WALNUT ST STE 930 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-5109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316393994 | Sarah E. Thornton | Ophthalmology | 840 Walnut St Ste 930, Philadelphia, PA 19107-5109 | 2016-05-12 |
| 1033571088 | Priscilla April Lao | Ophthalmology | 840 Walnut St Ste 930, Philadelphia, PA 19107-5109 | 2016-03-28 |
| 1184086803 | Usma P. Chatha | Ophthalmology | 840 Walnut St Ste 930, Philadelphia, PA 19107-5109 | 2016-03-22 |
| 1821359415 | Adam Anthony Debusk | Ophthalmology | 840 Walnut St Ste 930, Philadelphia, PA 19107-5109 | 2012-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 207WX0109X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Neuro-ophthalmology |
| A neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders. |
| Notes: Source: American Academy of Ophthalmology, www.aao.org [7/1/2017: new] - Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org. |
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.