EMMETT WAYNE MOSLEY (NPI# 1770783086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770783086 |
| Entity Type | Individual |
| Full Name | EMMETT WAYNE MOSLEY |
| Credential | M.D. |
| Practice Address |
2300 E County Road 540a Lakeland FL 33813-3825 |
| Mailing Address |
1600 Lakeland Hills Blvd. Credentialing Office Lakeland FL 33805-3019 |
| Practice Telephone | 8636073333 |
| Practice Fax Number | 8662648519 |
| Mailing Telephone | 8636807000 |
| Mailing Fax Number | 8662648519 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2020-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | ME102864 | FL | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 32017 | OK | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 01075699B | IN | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 27540 | TN | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 048374 | GA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 26697 | KY | Allopathic & Osteopathic Physicians |
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
ME102864 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 001662400 | 05 | |
| FL | FL HFMG MEDICARE | LB406 | 01 |
| FL | 019539100 | 05 | |
| FL | FL HFMG MEDICARE | LE632 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1350 Hickory St, Melbourne, FL 329013224 | 3214341401 | 3214341667 |
| 1350 Hickory St Ste 101, Melbourne, FL 329013224 | 3214341401 | 3214341667 |
| Street Address |
2300 E COUNTY ROAD 540A |
| City | LAKELAND |
| State | FL |
| Zip Code | 33813-3825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891786075 | Steven Andrew Barna | Anesthesiology | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2005-11-04 |
| 1649836180 | Adam Fagan | Physical Therapist | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2019-05-09 |
| 1144786187 | Brooke Lindsey Bambridge | Nurse Practitioner | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2019-02-14 |
| 1023572757 | Stephen Lagor | Physical Therapist | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2019-01-28 |
| 1679061691 | Amanda Avery Lewis | Nurse Practitioner | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2018-04-25 |
| 1386169357 | Holly Christine Payne | Nurse Practitioner | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2017-08-10 |
| 1881127355 | Olga Maria Medina | Nurse Practitioner | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2017-04-11 |
| 1821531583 | Brooke Livingston | Nurse Practitioner | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2016-11-29 |
| 1467906628 | Michael Ryan Ward | Physical Therapist | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2016-08-05 |
| 1720467657 | Italia Ramona Stuart | Nurse Practitioner | 2300 E County Road 540a, Lakeland, FL 33813-3825 | 2015-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600030 | Genesis Vieyra Lopez | Nurse Practitioner | 631 Mid Florida Drive, Lakeland, FL 33813 | 2019-07-13 |
| 1306323340 | Sandrene Smart | Clinic/Center | 625 Commerce Dr. (suite 103), Lakeland, FL 33813 | 2018-07-23 |
| 1033560586 | Charles D. Llano, D.d.s. | Dentist | 320 West Highland Drive, Lakeland, FL 33813 | 2016-06-27 |
| 1417317389 | Eye Specialists of Mid-florida, Pa | Ophthalmology | 2004 Cr 540 A, Lakeland, FL 33813 | 2016-03-04 |
| 1609234905 | Care and Life LLC | In Home Supportive Care | 6526 Fox Tree Lane, Lakeland, FL 33813 | 2016-02-02 |
| 1558731158 | Lori Ann Smith | Nurse Practitioner | 6030 S. Florida Ave, Suite 110, Lakeland, FL 33813 | 2015-09-25 |
| 1891182143 | Advanced Integrated Care Organization, LLC | Health Maintenance Organization | 5423 S. Florida Ave, Lakeland, FL 33813 | 2015-04-23 |
| 1902292352 | Central Health Associates | Internal Medicine | 4925 Old Rd 37, Lakeland, FL 33813 | 2015-04-13 |
| 1134542848 | Gledia Lovering | Dietitian, Registered | 6420 Highlands In The Woods St, Lakeland, FL 33813 | 2014-01-31 |
| 1134556368 | Billy Rogers | Nurse Anesthetist, Certified Registered | 4513 Orangewood Loop W., Lakeland, FL 33813 | 2013-10-02 |
| Find all providers in zip 33813 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659980654 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 439 S Florida Ave Ste 300, Lakeland, FL 33801-5212 | 2020-07-24 |
| 1366927170 | Royal Palm Orthopedic & Sports Medicine Institute LLC | Orthopaedic Surgery | 1507 Lakeland Hills Blvd Ste 107, Lakeland, FL 33805-3205 | 2018-09-27 |
| 1831190529 | Donald I Serot | Orthopaedic Surgery | 2135 Harden Blvd, Building C, Lakeland, FL 33803-5918 | 2005-08-03 |
| 1891139945 | Obafunto Abimbola | Orthopaedic Surgery | 1600 Lakeland Hills Blvd, Lakeland, FL 33805 | 2013-04-19 |
| 1205074424 | Richard L Crank Jr. | Orthopaedic Surgery | 3030 Harden Blvd, Lakeland, FL 33803-7952 | 2009-01-26 |
| 1194976761 | Benjamin Karl Miller | Orthopaedic Surgery | 3030 Harden Blvd, Lakeland, FL 33803-7952 | 2008-10-01 |
| 1023268620 | Olukemi Kay Fajolu | Orthopaedic Surgery | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2008-09-19 |
| 1699979534 | Chukwuka C Okafor | Orthopaedic Surgery | 5050 S Florida Ave, Lakeland, FL 33813-2501 | 2007-06-13 |
| 1861536534 | German Marulanda | Orthopaedic Surgery | 5050 S Florida Ave, Lakeland, FL 33813-2501 | 2007-02-16 |
| 1194801316 | F Mark Goodwin Md Pa | Orthopaedic Surgery | 2000 E Edgewood Dr, Suite 110, Lakeland, FL 33803-3653 | 2006-10-31 |
| Find all providers in LAKELAND | ||||
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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.