DR. KENNETH WAYNE MOSS (NPI# 1447241781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447241781 |
| Entity Type | Individual |
| Full Name | DR. KENNETH WAYNE MOSS |
| Credential | M.D. |
| Practice Address |
1901 Veterans Memorial Drive, Neurology Section Central Texas Veterans Health Care System Temple TX 76504-7451 |
| Practice Telephone | 2547216105 |
| Practice Fax Number | 2547430132 |
| Mailing Telephone | 2547216105 |
| Mailing Fax Number | 2547430132 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2008-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
0036402 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205950680 | Kenneth Moss | Specialist/Technologist, Other | 2602 Fall Creek Ldg, Loganville, GA 30052-5877 | 2007-03-19 |
| 1346364817 | Kenneth Moss | Acupuncturist | 20 Gilbert Ave, Ste. 202, Smithtown, NY 11787-5326 | 2007-03-19 |
| 1609944156 | Kenneth L. Moss | Psychiatry & Neurology | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-12-01 |
| 1942316245 | Kenneth Steven Moss | Anesthesiology | 88 Center Rd, Suite 100, Bedford Heights, OH 44146-2700 | 2006-08-21 |
| 1184685075 | Kenneth Alan Moss | Obstetrics & Gynecology | 701 E Hampden Ave, Suite 110, Englewood, CO 80113-2736 | 2006-03-30 |
| 1033193453 | Kenneth William Moss | Pharmacist | 525 E Market St, Akron, OH 44304-1619 | 2005-11-30 |
| Street Address |
1901 VETERANS MEMORIAL DRIVE, NEUROLOGY SECTION CENTRAL TEXAS VETERANS HEALTH CARE SYSTEM |
| City | TEMPLE |
| State | TX |
| Zip Code | 76504-7451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194243717 | Courtenay A Eddins | Occupational Therapy Assistant | 2010 Sw H K Dodgen Loop #201, Temple, TX 76504 | 2017-09-04 |
| 1891213500 | Melody Woods | Physical Therapy Assistant | 2010 Sw Hk Dodgen Loop, Suite 201, Temple, TX 76504 | 2017-09-01 |
| 1194255992 | Elizabeth Ford | Radiology | 202 Woodbridge Blvd 247, Temple, TX 76504 | 2017-06-14 |
| 1790223055 | Dinella Quinones | Specialist/Technologist | 2010 Sw Hkdodgen Loop, Suite 201, Temple, TX 76504 | 2017-02-07 |
| 1194277400 | Trina Morton | Specialist | 5297 S 31st Suite117a, Temple, TX 76504 | 2016-11-03 |
| 1134570922 | Plains Er Management Temple Ltd | Clinic/Center | 1551 W. Central Ave, Temple, TX 76504 | 2016-06-23 |
| 1962853770 | Express Er Temple, P.a. | Emergency Medicine | 1551 W. Central Avenue, Temple, TX 76504 | 2016-06-23 |
| 1306262548 | Nancy Lynne Sykes | Counselor | 2027 S 61st St Ste 121, Temple, TX 76504 | 2014-03-12 |
| 1972930683 | Taneka L Patrick | Social Worker | 2820 W Avenue O Ste B, Temple, TX 76504 | 2013-09-27 |
| 1255645990 | Mary Jane Ireland | Nurse Practitioner | 1901 Veterans Memorial Blvd, Temple, TX 76504 | 2010-08-05 |
| Find all providers in zip 76504 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316070576 | Batool Fuad Kirmani | Psychiatry & Neurology | 2401 South 31st St, Temple, TX 76508 | 2007-03-14 |
| 1508873159 | Bryan T Woods | Psychiatry & Neurology | Vamc 1901 S. 1st Street, Temple, TX 76504 | 2006-08-02 |
| 1225026420 | Sally Borucki | Psychiatry & Neurology | 2401 So 31st Street, Temple, TX 76508-0001 | 2005-10-11 |
| 1497741888 | Gopal R. Guttikonda | Psychiatry & Neurology | 1713 Sw H K Dodgen Loop, Temple, TX 76502-1836 | 2005-09-21 |
| 1235558842 | Rachel Mehendale | Psychiatry & Neurology | 2401 S 31st St, Temple, TX 76508 | 2014-04-10 |
| 1285052894 | Lauren Edwards Fournier | Psychiatry & Neurology | 2401 S 31st St, Temple, TX 76508-0001 | 2014-04-01 |
| 1043578289 | Seyed Pouyan Jalali | Psychiatry & Neurology | 2401 S 31st St, Temple, TX 76508 | 2012-04-25 |
| 1417244823 | Sowmya Atluri | Psychiatry & Neurology | 2401 S 31st St, Temple, TX 76508 | 2011-07-06 |
| 1083908495 | Jennifer Marie Padilla | Psychiatry & Neurology | 2401 S 31st St, Temple, TX 76508-2137 | 2011-06-02 |
| 1336455286 | Ahmad Ali Shawagfeh | Psychiatry & Neurology | 2401 S 31st St, Temple, TX 76508-1532 | 2010-08-28 |
| Find all providers in TEMPLE | ||||
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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.