STEPHEN R MOSBERG


Address: 1106 Colegate Dr, Emergency Department, Marietta, OH 45750-1323
Phone: 7405682000

STEPHEN R MOSBERG (NPI# 1619979291) 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) 1619979291
Entity Type Individual
Full Name STEPHEN R MOSBERG
Credential MD
Practice Address 1106 Colegate Dr
Emergency Department
Marietta
OH 45750-1323
Mailing Address 5 Foxboro Dr
Vienna
WV 26105-1939
Practice Telephone 7405682000
Practice Fax Number 7405682096
Mailing Telephone 3042955949
Enumeration Date 2005-08-12
Last Update Date 2016-02-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 35053594 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WV 0056602000 05
OH 0501488 05

Office Location

Street Address 1106 COLEGATE DR
EMERGENCY DEPARTMENT
City MARIETTA
State OH
Zip Code 45750-1323

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497135412 Selby General Hospital Rehabilitation Unit 1106 Colegate Dr, Marietta, OH 45750-1323 2015-06-04
1487093647 Niju Baby Narakathu Hospitalist 1106 Colegate Dr, Marietta, OH 45750-1323 2013-06-21
1780982991 Tiffany Ginger May Liean Heu Emergency Medicine 1106 Colegate Dr, Emergency Department, Marietta, OH 45750 2011-03-11
1346576956 Victoria Yulan Tong Emergency Medicine 1106 Colegate Dr, Emergency Department, Marietta, OH 45750-1323 2009-11-02
1518133776 Sajid Pervaiz Family Medicine 1106 Colegate Dr, Marietta, OH 45750-1323 2008-05-07
1417140500 Ellen Sue Mingus Dietitian, Registered 1106 Colegate Dr, Marietta, OH 45750-1323 2007-08-22
1265622831 Selby General Hospital General Acute Care Hospital 1106 Colegate Dr, Marietta, OH 45750-1323 2007-07-30
1669581880 Joseph Alexander Mack Hospitalist 1106 Colegate Dr, Marietta, OH 45750-1323 2006-08-30
1649388604 Elbert John Nash Emergency Medicine 1106 Colegate Dr, Emergency Department, Marietta, OH 45750-1323 2006-08-29
1588603112 John W. Ratzer Nurse Anesthetist, Certified Registered 1106 Colegate Dr, Marietta, OH 45750-1323 2006-06-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073111654 Mary V Byrd Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 37 Sterling Rd, Marietta, OH 45750 2020-10-15
1356997522 Jeffry Todd Arthur Pharmacist 401 Matthew Street Suite 100, Marietta, OH 45750 2019-08-14
1164965752 Jennifer Ann Simmons Counselor 121 Putnam St, Marietta, OH 45750 2016-11-30
1811449010 Kaylee Rebecca-ann Weihl Counselor 207 D Colegate Drive, Marietta, OH 45750 2016-11-04
1467802181 Jody Alden Registered Nurse 342 Muskingum Dr., Marietta, OH 45750 2016-06-14
1073998944 Rise A. Gibson Dental Hygienist 342 Muskingum Drive, Marietta, OH 45750 2015-07-21
1639559602 Washington County Board of Developmental Dissabilities Day Training, Developmentally Disabled Services 1701 Colegate Dr., Marietta, OH 45750 2015-06-04
1902290406 Irina Catanescu Emergency Medicine 401 Matthew Street, Emergency Department, Marietta, OH 45750 2015-03-23
1134520356 Susan Jahn Occupational Therapist 1338a Colegate Dr, Marietta, OH 45750 2014-09-08
1740696087 Melissa D Maston Registered Nurse Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 2014-07-08
Find all providers in zip 45750

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376102830 John Edward Cooke Emergency Medicine 2411 Tuxedo Ln Nw, Marietta, GA 30064-1898 2019-06-10
1902290406 Irina Catanescu Emergency Medicine 401 Matthew Street, Emergency Department, Marietta, OH 45750 2015-03-23
1679877286 Lawrence James Dawson Emergency Medicine 3761 Lassiter Rd, Marietta, GA 30062-4121 2010-12-23
1447410600 Jeremy Sebastian Nelson Emergency Medicine 2221 Bonniewood Dr, Marietta, GA 30064-3820 2008-06-11
1427233501 Virginia Garrett Galvin Emergency Medicine 3772 Baccurate Way, Marietta, GA 30062-8708 2008-01-08
1184841082 John Charles Meholic Emergency Medicine 4175 S Arbor Cir, Marietta, GA 30066-2278 2007-04-20
1982740643 Albert G Lintel IIi Emergency Medicine 3747 Roswell Rd Ste 107, Marietta, GA 30062 2007-01-29
1134133747 Gayle Galan Emergency Medicine 1106 Colegate Dr Emergency Dept, Marietta, OH 45750-1323 2006-07-28
1134143910 Thomas L Haltom Emergency Medicine 1401 Johnson Ferry Rd, Suite 390, Marietta, GA 30062-6495 2006-07-26
1508894767 Marlon Fisher Emergency Medicine 2913 Kings Walk Ave, Marietta, GA 30062-4503 2006-06-28
Find all providers in MARIETTA

Competitor

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City MARIETTA
Zip Code 45750

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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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