DAVID L MOSER (NPI# 1710070651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710070651 |
| Entity Type | Individual |
| Full Name | DAVID L MOSER |
| Credential | MD |
| Practice Address |
2200 N Section St Sullivan IN 47882-7523 |
| Mailing Address |
6274 Deerfield Dr Greenwood IN 46143-9150 |
| Practice Telephone | 8122684311 |
| Practice Fax Number | 8122682650 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 01032537A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BLUE CROSS PROVIDER NUMBE | 000000491501 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841310414 | David Richard Moser | Chiropractor | 2310 Capitan Dr Apt D, Corpus Christi, TX 78414-2584 | 2007-03-29 |
| 1124158928 | David W Moser | Pediatrics | 1301 Barbara Jordan Blvd, Suite #200, Austin, TX 78723-3077 | 2007-03-07 |
| 1164417820 | David John Moser | Clinical Neuropsychologist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-09-19 |
| Street Address |
2200 N SECTION ST |
| City | SULLIVAN |
| State | IN |
| Zip Code | 47882-7523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497759260 | Sullivan County Community Hospital | General Acute Care Hospital | 2200 N Section St, Sullivan, IN 47882-7523 | 2005-06-09 |
| 1154939320 | Sullivan County Community Hospital | Clinic/Center | 2200 N Section St, Sullivan, IN 47882-7523 | 2020-07-14 |
| 1760018691 | Holly M Clevenger | Social Worker | 2200 N Section St, Sullivan, IN 47882-7523 | 2020-03-23 |
| 1710479084 | Jessica A Dean-hester | Nurse Practitioner | 2200 N Section St, Sullivan, IN 47882-7523 | 2018-06-03 |
| 1902278476 | Jessica Myers | Nurse Practitioner | 2200 N Section St, Sullivan, IN 47882-7523 | 2015-10-23 |
| 1891193314 | Community Medical Imaging Inc | Radiology | 2200 N Section St, Sullivan, IN 47882-7523 | 2014-12-16 |
| 1154741296 | Mso Clinics, Inc. | Clinic/Center | 2200 N Section St, Sullivan, IN 47882-7523 | 2014-04-16 |
| 1063831527 | Mso Clinics, Inc. | Clinic/Center | 2200 N Section St, Sullivan, IN 47882-7523 | 2014-04-14 |
| 1518187012 | Angela Beth Sagarsee | Dietitian, Registered | 2200 N Section St, Sullivan, IN 47882-7523 | 2007-04-26 |
| 1104045871 | Traci Ann Ray | Dietitian, Registered | 2200 N Section St, Sullivan, IN 47882-7523 | 2007-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659718336 | Neil Lynn Smith | Dentist | 118 S. Court St., Sullivan, IN 47882 | 2013-06-04 |
| 1184888000 | Mary Sherman Hospital | Hospice Care, Community Based | 817 North Section Street, Suite A, Sullivan, IN 47882 | 2008-07-10 |
| 1003838194 | Johnson Memorial Hospital | Durable Medical Equipment & Medical Supplies | 505 West Wolfe Street, Sullivan, IN 47882 | 2006-07-24 |
| 1255580593 | Daniel Choyce Callahan | Psychiatry & Neurology | 2204 N Section St, Sullivan, IN 47882 | 2008-09-11 |
| 1851394175 | Van Evanoff Jr. | Pain Medicine | 2204 N Section St, Suite B, Sullivan, IN 47882-0010 | 2005-05-31 |
| 1982780748 | Associated Physicians & Surgeons Clinic, LLC | Obstetrics & Gynecology | 2204 N Section St, Suite B, Sullivan, IN 47882-0010 | 2006-10-27 |
| 1871996199 | Sullivan Family Dentistry, LLC | Dentist | 2186 N Hospital Blvd., Suite 1, Sullivan, IN 47882-0468 | 2014-10-01 |
| 1487828455 | Kortni Reann Martindale | Speech-Language Pathologist | 368 W Indiana Ave, Sullivan, IN 47882-1117 | 2008-04-21 |
| 1831280585 | Southwest School Corporation | Local Education Agency (LEA) | 110 N Main St, Sullivan, IN 47882-1225 | 2006-09-27 |
| 1780717637 | Brian K Grindstaff | Chiropractor | 210 N Section St Unit C, Sullivan, IN 47882-1237 | 2007-03-13 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255738985 | Indiana Emergency Physicians, LLP | Emergency Medicine | 325 W Northwood Dr, Sullivan, IN 47882-7515 | 2014-11-24 |
| 1588757421 | Keshava G Reddy | Emergency Medicine | 2200 N Section St, Sullivan, IN 47882-7523 | 2006-10-02 |
| 1760575617 | Alfred R Talens | Emergency Medicine | 2200 N Section St, Sullivan, IN 47882-7523 | 2006-10-02 |
| 1710084595 | Florante Repaso | Emergency Medicine | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2006-09-20 |
| 1699792234 | Mohammed Islam | Emergency Medicine | 751 Sappington Bridge Rd, Sullivan, MO 63080-2354 | 2006-07-17 |
| 1467483826 | Myung S Lee | Emergency Medicine | 2200 N Section St, Sullivan, IN 47882-7523 | 2006-07-05 |
| 1720026826 | Hoosier Emergency Physicians LLC | Emergency Medicine | 2200 N Section St, Sullivan, IN 47882-7523 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358255 | Vyvian Charlene Lawrence | Emergency Medicine | 5939 W Lincoln Hwy, Crown Point, IN 46307-9604 | 2020-08-28 |
| 1508358128 | Antonino Bucca | Emergency Medicine | 720 Eskenazi Ave Bldg 3, Indianapolis, IN 46202-5187 | 2018-05-30 |
| 1124518931 | Evan Mitchell Landry Tomkiewicz | Emergency Medicine | 720 Eskenazi Ave Fl Ft3, Indianapolis, IN 46202-5187 | 2018-05-16 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1760913891 | Nathan Francis Marcinkowski | Emergency Medicine | 216 N 4th St Ste 205, Lafayette, IN 47901-1323 | 2017-03-21 |
| 1154777613 | Michael J Bojrab | Emergency Medicine | 6720 Kirkdale Dr, Fort Wayne, IN 46815-5524 | 2016-05-13 |
| 1114307063 | Grant Fabian Chernoby | Emergency Medicine | 701 N Senate Ave # B401, Indianapolis, IN 46202-3111 | 2015-06-05 |
| 1457730830 | Patrick Lee Studtman | Emergency Medicine | 615 N. Michigan Street, Emergency Department, South Bend, IN 46601-1033 | 2015-05-19 |
| 1861888430 | Enola Okonkwo | Emergency Medicine | 9785 Valley Springs Blvd, Fishers, IN 46037-8764 | 2015-04-10 |
| 1518355882 | Marlin R. Gray | Emergency Medicine | 925 N. County Rd., 1100e, Otwell, IN 47564 | 2015-01-08 |
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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.