JOHN N. MOSS III (NPI# 1790841476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790841476 |
| Entity Type | Individual |
| Full Name | JOHN N. MOSS III |
| Credential | P.A. |
| Practice Address |
700 Lilly Rd Ne Olympia WA 98506-5115 |
| Mailing Address |
Po Box 34584 Seattle WA 98124-1584 |
| Practice Telephone | 3609237000 |
| Mailing Telephone | 5092417349 |
| Mailing Fax Number | 5092417628 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2008-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA10000048 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8359531 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740273481 | John A Moss | Otolaryngology | 6230 Scott St, Suite 111, Punta Gorda, FL 33950-3940 | 2005-08-29 |
| 1063411841 | John Anthony Moss | Surgery | 6821 Palisades Park Ct Ste 1, Fort Myers, FL 33912-7131 | 2005-07-14 |
| 1003117045 | John Campbell Moss | Pharmacist | 315 S Hampton Rd, Dallas, TX 75208-5618 | 2010-11-08 |
| 1619130549 | John Moss | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2008-07-10 |
| 1619147394 | John Moss | Counselor | 1320 Union St, Morris, IL 60450-2426 | 2008-03-10 |
| 1902974132 | John Phillip Moss | Pharmacist | 249 N Douglas Blvd, Midwest City, OK 73130-3309 | 2006-12-04 |
| 1457424764 | John Simpson Moss | Orthopaedic Surgery | 171 Nc Highway 125, Roanoke Rapids, NC 27870-6460 | 2006-11-16 |
| 1518052737 | John Moss | Counselor | 3285 N Arlington Heights Road, Suite 201, Arlington Heights, IL 60004 | 2006-10-04 |
| 1144291014 | John Edward Moss Jr. | Pediatrics | 901 E Cheves St, Suite 370, Florence, SC 29506-2716 | 2006-01-30 |
| 1588650634 | John J Moss | Anesthesiology | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2005-09-23 |
| Street Address |
700 LILLY RD NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253596 | Sarah Hulsey | Family Medicine | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2005-05-23 |
| 1720600141 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2020-05-07 |
| 1780214809 | Mary Mallette | Dietitian, Registered | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2020-01-16 |
| 1588207534 | Phillip Inouye | Audiologist | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2019-10-22 |
| 1083263289 | Michael Allen Foster | Physical Therapist | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2019-09-10 |
| 1003478207 | Rhena Valentine | Midwife | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2019-07-08 |
| 1215495866 | Vinh Hoang Nguyen | Pharmacist | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2019-03-02 |
| 1588147185 | Haley Mae Fuchs | Physician Assistant | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2018-09-10 |
| 1922588722 | Linnea Christine Robinson | Physician Assistant | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2018-08-21 |
| 1891272506 | Cassie Ann Icenogle | Counselor | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2018-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649750555 | Stephanie Mcclymond | Physician Assistant | 5519 Donnelly Dr Se, Olympia, WA 98501-5019 | 2018-08-20 |
| 1265972814 | Holmes Howard Stoner IIi | Physician Assistant | 2229 Cooper Crest Pl Nw, Olympia, WA 98502-4079 | 2017-03-01 |
| 1598112054 | Jason Nathaniel Shepherd | Physician Assistant | 1620 Cooper Point Rd Sw Ste 200, Olympia, WA 98502-5736 | 2016-05-14 |
| 1972990281 | Ryan David Richards | Physician Assistant | 3627 Ensign Rd Ne Ste A, Olympia, WA 98506-6104 | 2015-04-24 |
| 1841590502 | Barbara Ann Krulich | Physician Assistant | 2700 Evergreen Parkway Nw, Seminar I 2100, Olympia, WA 98505 | 2010-10-28 |
| 1295889087 | Brad Goldworm | Physician Assistant | 2950 Limited Ln Nw, Olympia, WA 98502-4577 | 2007-01-22 |
| 1083723746 | Stephen R Fischer | Physician Assistant | 615 Lilly Rd Ne Ste 100, Olympia, WA 98506-5117 | 2006-08-29 |
| 1326063462 | John Richard Hill | Physician Assistant | 7125 101st Ave Sw, Olympia, WA 98512-2139 | 2006-07-12 |
| 1164464053 | John C Schira | Physician Assistant | 6700 Martin Way E, Suite 117, Olympia, WA 98516-6502 | 2006-06-12 |
| 1205885290 | Kathy Lucia Savatini | Physician Assistant | 615 Lilly Rd Ne, Ste 100, Olympia, WA 98506-5117 | 2006-05-08 |
| Find all providers in OLYMPIA | ||||
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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.