HERSHEL S. MOSS (NPI# 1407920911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407920911 |
| Entity Type | Individual |
| Full Name | HERSHEL S. MOSS |
| Credential | M.D. |
| Practice Address |
4008 Calgary Ct Ann Arbor MI 48108-2798 |
| Practice Telephone | 7346686462 |
| Practice Fax Number | 7343693369 |
| Mailing Telephone | 7346686462 |
| Mailing Fax Number | 7343693369 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2009-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 046203 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 424098110 | 05 | |
| BLUE CROSS-BLUE CROSS | 010H262530 | 01 | |
| CHAMPUS-CHAMPUS | HM046203 | 01 | |
| COMMERCIAL-COMMERCIAL NUMBER | HM046203 | 01 |
| Street Address |
4008 CALGARY CT |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108-2798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
| Find all providers in zip 48108 | ||||
| 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 |
|---|---|---|---|---|
| 1316405103 | Epmg Southwest Michigan Pllc | Emergency Medicine | 5301 E Huron River Rd, Ann Arbor, MI 48106 | 2019-03-11 |
| 1477044279 | Max Griffith | Emergency Medicine | 1500 E Medical Center Dr Tcb1380, Ann Arbor, MI 48109 | 2018-05-29 |
| 1861841926 | Joseph Hamera | Emergency Medicine | 1500 E Medical Center Dr Spc 5360, Ann Arbor, MI 48109-5360 | 2016-06-09 |
| 1922493220 | Farshid Bozorgnia | Emergency Medicine | 1412 Bicentennial Pkwy, Ann Arbor, MI 48108-7918 | 2015-04-02 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| 1760820153 | Michael Thomas Cover | Emergency Medicine | 1500 E, Medical Center Drive, B1 Floor University Hospital Recp Er, Ann Arbor, MI 48109-5301 | 2013-06-07 |
| 1447696968 | James Bernard Grotberg | Emergency Medicine | 3535 Green Ct, Ann Arbor, MI 48105-1579 | 2013-05-13 |
| 1467773929 | Sarah E Tomlinson | Emergency Medicine | 1500 East Medical Center Drive Floor 2, Cs Motts Children's Emergency Medicine, Ann Arbor, MI 48109-4205 | 2010-06-18 |
| 1083944706 | Jane Maginnis Bloom | Emergency Medicine | 537 Elm Street, Ann Arbor, MI 48104-2515 | 2009-12-31 |
| 1952552994 | Robert E Servis | Emergency Medicine | 4420 Varsity Dr, Ann Arbor, MI 48108-2233 | 2008-10-08 |
| Find all providers in ANN ARBOR | ||||
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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.