DR. ROBERT MOSS (NPI# 1487684080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487684080 |
| Entity Type | Individual |
| Full Name | DR. ROBERT MOSS |
| Credential | MD |
| Practice Address |
1775 Ballard Rd Park Ridge IL 60068-1005 |
| Practice Telephone | 8473182500 |
| Practice Fax Number | 8473182558 |
| Mailing Telephone | 8473182500 |
| Mailing Fax Number | 8473182558 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2008-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
036059412 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036059412 | 05 | |
| IL | MEDICARE ID | L69140 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376884981 | Robert Moss | Pediatrics | 174 Wood Pond Road, West Hartford, CT 06107 | 2013-03-06 |
| 1881716348 | Robert H Moss | Podiatrist | 1056 S Black Horse Pike, Apt K10, Williamstown, NJ 08094-1901 | 2007-04-04 |
| 1962534909 | Robert Ray Moss | Surgery | 525 Plaza Dr Ste 204, Santa Maria, CA 93454-6954 | 2007-03-12 |
| 1346264181 | Robert Burgess Moss Jr. | Dentist | 1600 W 3rd Ave, Albany, GA 31707-3461 | 2006-07-26 |
| 1659304871 | Robert Leslie Moss | Internal Medicine | 114 Business Center Drive, Reisterstown, MD 21136 | 2006-07-09 |
| 1851350276 | Robert Nathan Moss | Physical Therapist | 407 Old Springtown Rd, Suite 114, Springtown, TX 76082-2773 | 2006-03-23 |
| 1548232432 | Robert L Moss | Anesthesiology | 2 Newcomb Ter, Unit A, Wichita Falls, TX 76308-2220 | 2006-02-03 |
| 1861056103 | Robert Moss | Case Manager/Care Coordinator | 1744 Payne Ave, Cleveland, OH 44114-2910 | 2019-04-23 |
| 1952880494 | Robert Moss | Case Manager/Care Coordinator | 2003 Se Walton Blvd, Bentonville, AR 72712-3725 | 2018-08-07 |
| 1144686445 | Robert Moss | Specialist/Technologist | 906 Okeefe Rd, Marshall, MI 49068-1354 | 2016-01-04 |
| Street Address |
1775 BALLARD RD |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760483465 | Nesset Pavilion Pharmacy | Pharmacy | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2005-08-03 |
| 1235758418 | Benjamin David Catt | Family Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-08 |
| 1245869718 | Christopher Haansehm Kang | Student in an Organized Health Care Education/Training Program | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-06 |
| 1992334577 | Emily Rose Temple-wood | Family Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-05 |
| 1851920557 | Ryan Edwards | Student in an Organized Health Care Education/Training Program | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-04 |
| 1790314805 | Kishan Patel | Internal Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-02 |
| 1225667256 | Thomas Schmittdiel | Family Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-02 |
| 1730718719 | Laith Yasin | Internal Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-02 |
| 1740819747 | Misbah Razvi | Internal Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-04-02 |
| 1962030254 | Sasirekha Pandravada | Internal Medicine | 1775 Ballard Rd, Park Ridge, IL 60068-1005 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399327 | Karen Louise Mcallister | Family Medicine | 1556 N State Rd, Flora, IL 62839-3233 | 2020-09-01 |
| 1780205708 | Cook County | Family Medicine | 12757 S. Western Ave, Blue Island, IL 60406 | 2020-04-30 |
| 1982225918 | Welcome Health Management Group | Family Medicine | 2325 W Harrison St Apt 2, Chicago, IL 60612-3555 | 2020-04-30 |
| 1043702830 | Professional Healthcare Inc | Family Medicine | 960 Rand Rd Ste 224, Des Plaines, IL 60016 | 2018-06-06 |
| 1578078754 | Innovative Geriatrics LLC | Family Medicine | 301 Madison St Ste 310, Joliet, IL 60435-6686 | 2017-12-09 |
| 1033507249 | Bridgecare, Inc. | Family Medicine | 2250 E Devon Ave, Suite 333, Des Plaines, IL 60018-4511 | 2014-12-23 |
| 1700218385 | Camilla Lim | Family Medicine | 309 Ridgemoor Dr, Willowbrook, IL 60527-5416 | 2013-08-06 |
| 1073807707 | Lr Health Management, Inc | Family Medicine | 1204 S 57th Ave, Cicero, IL 60804-1148 | 2011-05-28 |
| 1770884561 | Dr Gandhi Inc | Family Medicine | 1404 English Ct, Naperville, IL 60564-5187 | 2010-11-10 |
| 1285941914 | Shifa Medical Care, Inc | Family Medicine | 142 E Lake St, Suite C, Bloomingdale, IL 60108-1195 | 2010-09-01 |
| Find all providers with the same taxonomy | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
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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.