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).
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 |
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 |
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 |
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 |
Street Address |
724 AUBREY BELL DR |
City | MATTHEWS |
State | NC |
Zip Code | 28105-5055 |
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 |
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 Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
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. |
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 |
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 |
Find all providers with the same taxonomy |
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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.