KENNETH L. MOSS (NPI# 1609944156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609944156 |
| Entity Type | Individual |
| Full Name | KENNETH L. MOSS |
| Credential | M.D. |
| Practice Address |
Henry Ford Health System 2799 West Grand Boulevard Detroit MI 48202 |
| Practice Telephone | 3139162436 |
| Mailing Telephone | 3139162436 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4301047387 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CHAMPUS-CHAMPUS | KM047387 | 01 | |
| COMMERCIAL-COMMERCIAL NUMBER | KM047387 | 01 | |
| MI | 440704810 | 05 | |
| BLUE CROSS-BLUE CROSS | 700H262290 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205950680 | Kenneth Moss | Specialist/Technologist, Other | 2602 Fall Creek Ldg, Loganville, GA 30052-5877 | 2007-03-19 |
| 1447241781 | Kenneth Wayne Moss | Psychiatry & Neurology | 1901 Veterans Memorial Drive, Neurology Section, Central Texas Veterans Health Care System, Temple, TX 76504-7451 | 2005-11-04 |
| 1346364817 | Kenneth Moss | Acupuncturist | 20 Gilbert Ave, Ste. 202, Smithtown, NY 11787-5326 | 2007-03-19 |
| 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 |
HENRY FORD HEALTH SYSTEM 2799 WEST GRAND BOULEVARD |
| City | DETROIT |
| State | MI |
| Zip Code | 48202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336147461 | Joseph Lawrence Lelli | Surgery | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2005-07-12 |
| 1053794859 | Ali Malik | Podiatrist | Henry Ford Health System, 1 Ford Pl Ste 2e, Detroit, MI 48202 | 2015-06-30 |
| 1730389198 | Folusho Everton Ogunfiditimi | Physician Assistant | Henry Ford Health System, 2799 West Grand Blvd., Detroit, MI 48202 | 2007-07-23 |
| 1598897696 | Geoffrey S. Mwaungulu | Internal Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-03-12 |
| 1578606463 | Rebecca S. Lurcott | Ophthalmology | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-02-14 |
| 1184767949 | Jan Rival | Internal Medicine | Henry Ford Health System, 3031 West Grand Blvd., Detroit, MI 48202 | 2007-02-14 |
| 1295875342 | Vinaya Vallabhaneni | Preventive Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-02-07 |
| 1699821157 | Morton B. Cash | Radiology | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-01-26 |
| 1881748242 | Felix Umansky | Neurological Surgery | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-01-23 |
| 1558415901 | Sidney Goldstein | Internal Medicine | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285126797 | Vijaya Gopal Kotha Md PC | Psychiatry & Neurology | 22101 Moross Rd Fl 6, Detroit, MI 48236-2148 | 2018-05-31 |
| 1851831713 | Jennifer L Rostamabadi-cook | Psychiatry & Neurology | 3031 W Grand Blvd Ste 600, Detroit, MI 48202-3014 | 2017-02-26 |
| 1447604608 | Zaid Baha | Psychiatry & Neurology | 14533 Mack Ave, Detroit, MI 48215-2520 | 2016-04-14 |
| 1487035127 | Shehryar Khan | Psychiatry & Neurology | 1350 W Bethune St Apt 1704, Henry Ford Hospital Guest Housing, Detroit, MI 48202-2666 | 2015-06-17 |
| 1508104373 | Thomas Sullivan | Psychiatry & Neurology | 16321 Mack Ave, Detroit, MI 48224-2756 | 2013-01-29 |
| 1588979421 | Tiwalola Olufunke Kolawole | Psychiatry & Neurology | 1 Ford Pl Ste 1f, Detroit, MI 48202-3450 | 2010-08-16 |
| 1033445754 | Robert Dale Smeed Jr. | Psychiatry & Neurology | 400 River Place Dr, Apt 4212, Detroit, MI 48207-5202 | 2009-10-30 |
| 1962699736 | Wendy Joy Besler | Psychiatry & Neurology | 3031 W Grand Blvd Ste 450, Detroit, MI 48202-3026 | 2007-09-26 |
| 1649497850 | Lindsay Rose Dykema | Psychiatry & Neurology | 2255 Atkinson St, Detroit, MI 48206-2010 | 2007-04-19 |
| 1316079270 | Bardia Gholami | Psychiatry & Neurology | 3901 Chrysler Dr Fl 3, Detroit, MI 48201 | 2007-03-09 |
| Find all providers in DETROIT | ||||
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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.