JONATHAN RANDALL MOSS


Address: 724 Aubrey Bell Dr, Matthews, NC 28105-5055
Phone: 7042953550

JONATHAN RANDALL MOSS (NPI# 1447307244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447307244
Entity Type Individual
Full Name JONATHAN RANDALL MOSS
Credential MD
Practice Address 724 Aubrey Bell Dr
Matthews
NC 28105-5055
Mailing Address 6035 Fairview Rd
Charlotte
NC 28210-3256
Practice Telephone 7042953550
Practice Fax Number 7042953556
Mailing Telephone 7042953000
Enumeration Date 2007-01-04
Last Update Date 2018-05-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 2010-00143 NC Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
NC BCBSNC 15857 01
SC SELECT HEALTH OF SC 30083055 01
NC 5914807 05
NC AETNA 9733523 01
NC RAILROAD MEDICARE P00866360 01
NC CIGNA HEALTHCARE 4678040 01
SC NC1193 05
SC UNISON HEALTH PLAN OF SC 000000306335 01

Other Providers JONATHAN MOSS

NPI Name Taxonomy Address Enumeration
1922523984 Jonathan Maurice Moss Contractor 7512 Boydton Plank Rd, North Dinwiddie, VA 23803-7354 2017-08-10
1952601130 Jonathan David Moss Social Worker 399 W. Kawili St., #202, Hilo, HI 96720-4086 2010-10-22
1871534933 Jonathan David Moss Family Medicine 100 Health Center Dr, Bridgewater, VA 22812 2006-06-09
1295394294 Jonathan Matthew Moss Podiatrist 2351 E 22nd St, Cleveland, OH 44115-3111 2019-06-12
1447784103 Jonathan Brent Moss Student in an Organized Health Care Education/Training Program 979 E 3rd St, Suite B-401, Chattanooga, TN 37403-2136 2017-04-19
1679918247 Jonathan Moss Marriage & Family Therapist 1545 Church St, San Francisco, CA 94131-2017 2013-05-08
1235294455 Jonathan Moss Anesthesiology 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 2006-12-27

Office Location

Street Address 724 AUBREY BELL DR
City MATTHEWS
State NC
Zip Code 28105-5055

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891778262 Natalia Goetz Hertz Nurse Practitioner 724 Aubrey Bell Dr, Matthews, NC 28105-5055 2005-11-21
1023571551 Riley C Rogan Audiologist 724 Aubrey Bell Dr, Matthews, NC 28105-5055 2019-04-11
1073956900 Christine Nicole Koval Physician Assistant 724 Aubrey Bell Dr, Matthews, NC 28105-5055 2013-04-10
1134410186 Veena Shiva Rao Ophthalmology 724 Aubrey Bell Dr, Matthews, NC 28105-5055 2011-04-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750917407 Lauren Deasy Blackshaw Counselor 1163 Sam Newell Rd, Matthews, NC 28105 2020-03-13
1912549643 Monarch Community/Behavioral Health 10545 Paces Avenue 634, Matthews, NC 28105 2019-10-15
1326515768 Holly Harvey Heddleson Nurse Practitioner 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 2018-10-24
1396241030 Erickson Health Medical Group of North Carolina, PC Internal Medicine 2030 Windsor Run Lane, Matthews, NC 28105 2018-04-02
1811406994 Lice Clinics of America of The Carolinas Technician, Other 3042 Suite C Senna Dr, Matthews, NC 28105 2017-09-21
1376065003 Carillon Assisted Living of Mint Hill, LLC Custodial Care Facility 5601 Margaret Wallace Road, Matthews, NC 28105 2017-07-14
1568906055 London Young Physical Therapy Assistant 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 2016-12-19
1003363128 New Beginnings Community Counseling Center Community/Behavioral Health 5232 Maragaret Wallace Road, Matthews, NC 28105 2016-09-07
1275993149 Kristi Dougan Nurse Practitioner 434 N Trade St Ste 104, Matthews, NC 28105 2016-03-04
1205219896 Kalyani Vellanki Starr Dentist 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 2015-07-01
Find all providers in zip 28105

Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902091598 Charlotte Eye Ear Nose & Throat Associates, Pa Otolaryngology 724 Aubrey Bell Drive, Matthews, NC 28105-5402 2007-09-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528605888 Inbal Hazkani Bendror Otolaryngology 1217 Mossy Glade Cir, Apex, NC 27502-4874 2019-12-05
1174183156 Queen City Ear Nose and Throat Pllc Otolaryngology 8924 Blakeney Professional Dr, Charlotte, NC 28277-6660 2019-06-20
1194244012 Ethan Staats Otolaryngology 391 Heaton Forest Rd, Cashiers, NC 28717 2017-09-12
1528423068 Charlotte Eye Ear Nose & Throat Associates, Pa Otolaryngology 149 Plantation Ridge Drive, Suite 190, Mooresville, NC 28117-9178 2015-12-29
1598151763 Adam Richard Gigliotti Otolaryngology 400 E Stonewall St, Charlotte, NC 28202-3601 2015-04-14
1891112389 Marshall Snow Otolaryngology 109 Piedmont Ave, Winston Salem, NC 27101-3607 2014-03-24
1073937942 John Monroe Otolaryngology 525 Hardee Branch Rd, West End, NC 27376-8961 2014-02-12
1457794893 Candace Mitchell Waters Otolaryngology 170 Manning Drive Campus Box #7070, Chapel Hill, NC 27599-4216 2013-04-16
1457794927 Amanda Jo Lott Marcellino Otolaryngology 1132 N Church St Ste 200, Greensboro, NC 27401 2013-04-15
1710320510 Nicolas-george Katsantonis Otolaryngology 4600 Lake Boone Trl Ste 100, Raleigh, NC 27607 2013-04-10
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Competitor

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City MATTHEWS
Zip Code 28105

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Dataset Information

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.

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