DR. MARY LINDA MOSS (NPI# 1649286600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649286600 |
| Entity Type | Individual |
| Full Name | DR. MARY LINDA MOSS |
| Credential | M.D. |
| Practice Address |
1030 River Oaks Dr Jackson MS 39232-9553 |
| Mailing Address |
620 Crossover Rd Tupelo MS 38801-4944 |
| Practice Telephone | 6019360494 |
| Mailing Telephone | 6019360494 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2018-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
13903 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05828281 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720033855 | Mary Thomas Moss | Obstetrics & Gynecology | 503 E Bell St, Suite 200, Murfreesboro, TN 37130-3052 | 2006-05-24 |
| 1154573186 | Mary L Moss | Developmental Therapist | 3450 W 34th Ave, Pine Bluff, AR 71603-5508 | 2008-10-22 |
| 1912182833 | Mary Ann Moss | Social Worker | 1000 Locust St, Reno, NV 89502-2597 | 2008-01-09 |
| 1801940275 | Mary Lynn Moss | Pharmacist | 400 Wabash Ave, Akron, OH 44307-2433 | 2007-01-23 |
| Street Address |
1030 RIVER OAKS DR |
| City | JACKSON |
| State | MS |
| Zip Code | 39232-9553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760633309 | Mississippi Em-i Medical Services | Nurse Practitioner | 1030 River Oaks Dr, Jackson, MS 39232-9553 | 2008-10-01 |
| 1770773376 | Lynda S Hardin | Nurse Practitioner | 1030 River Oaks Dr, Jackson, MS 39232-9553 | 2007-07-30 |
| 1578773800 | Joe Keith Robbins | Emergency Medicine | 1030 River Oaks Dr, Jackson, MS 39232-9553 | 2007-05-23 |
| 1962610410 | Ralph Bell | Emergency Medicine | 1030 River Oaks Dr, Jackson, MS 39232-9553 | 2007-05-18 |
| 1568533248 | Sherrie R Long | Emergency Medicine | 1030 River Oaks Dr, Jackson, MS 39232-9553 | 2006-11-13 |
| 1760492037 | Aja Abai | Internal Medicine | 1030 River Oaks Dr, Jackson, MS 39232-9553 | 2006-08-09 |
| 1487662938 | River Oaks Hospital, Inc. | Internal Medicine | 1030 River Oaks Dr, Jackson, MS 39232-9553 | 2006-08-03 |
| 1457367401 | Edgar Barham | Radiology | 1030 River Oaks Dr, Jackson, MS 39232-9553 | 2006-07-31 |
| 1336155399 | Brooks Barham | Radiology | 1030 River Oaks Dr, Jackson, MS 39232-9553 | 2006-07-31 |
| 1487669297 | Marvin Barry Mccay | Radiology | 1030 River Oaks Dr, Jackson, MS 39232-9553 | 2006-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063890754 | Phil Otis Nelson Jr. | Radiology | 146 Ridge Dr, Jackson, MS 39216-4109 | 2015-05-13 |
| 1891030946 | Cherry Hill Radiology Pllc | Radiology | 401 Redfield Dr, Jackson, TN 38305-8555 | 2012-11-30 |
| 1245414275 | Breathit County Imaging Center | Radiology | 1389 Ky Hwy 15 North, St. John Newmans Medical Plaza, Jackson, KY 41339 | 2007-12-27 |
| 1407933930 | Karen Collette Jensen | Radiology | 14 Adams Road, Jackson, NH 03846 | 2006-11-01 |
| 1770676801 | Gerald O Daniel | Radiology | 708 W Forest Avenue, Jackson, TN 38301 | 2006-10-02 |
| 1497761837 | Arlin George Hatfield IIi | Radiology | 1405 North State Street, Suite 200, Jackson, MS 39202 | 2006-07-31 |
| 1225083942 | Robert Houston Hardin Jr. | Radiology | 2210 Heritage Hill Dr, Jackson, MS 39211-5821 | 2006-05-23 |
| 1881655967 | Jane Warne Brown | Radiology | 91 Stonehaven Cir, Jackson, TN 38305-1945 | 2006-03-29 |
| 1780645028 | Andrew Laurence Rivard | Radiology | 2500 State Street, University of Mississippi Medical Center, Jackson, MS 39216 | 2006-03-28 |
| 1013985134 | John A. Sullivan | Radiology | 7330 Ryegrass Road, Jackson, WY 83001 | 2006-03-14 |
| Find all providers in JACKSON | ||||
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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.