RANDALL EVAN MOSS (NPI# 1912196221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912196221 |
| Entity Type | Individual |
| Full Name | RANDALL EVAN MOSS |
| Credential | PA-C |
| Practice Address |
2050 Barb St Silverdale WA 98315 |
| Practice Telephone | 3604154347 |
| Mailing Telephone | 3604154347 |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2015-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1125502 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2050 BARB ST |
| City | SILVERDALE |
| State | WA |
| Zip Code | 98315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013987122 | Frederick Gilbert Young | Dentist | 2050 Barb St, Suite B, Silverdale, WA 98315-2050 | 2006-01-23 |
| 1306482211 | Skylar Jo Snowden | Dentist | 2050 Barb St, Silverdale, WA 98315-2050 | 2019-11-26 |
| 1952963365 | Lance Richard Harris | Dentist | 2050 Barb St, Silverdale, WA 98315-2050 | 2019-07-05 |
| 1437672466 | Tracy Rowley | Dental Hygienist | 2050 Barb St, Silverdale, WA 98315-2050 | 2017-07-21 |
| 1134583636 | Collin Barker | Dentist | 2050 Barb St, Silverdale, WA 98315-2050 | 2016-04-11 |
| 1851772891 | Robert Blackmon | Military Health Care Provider | 2050 Barb St, Silverdale, WA 98315 | 2015-06-16 |
| 1427398296 | Rudy F Schmiedecke | Military Health Care Provider | 2050 Barb St, Silverdale, WA 98315-2050 | 2013-02-15 |
| 1992093538 | Daniel Bradley | Family Medicine | 2050 Barb St, Silverdale, WA 98315-2050 | 2011-07-18 |
| 1447584545 | Michael Anthony Smith | Dentist | 2050 Barb St, Suite #b, Silverdale, WA 98315-2098 | 2009-09-23 |
| 1932302262 | Branch Medical Clinic Bangor | Clinic/Center | 2050 Barb St, Silverdale, WA 98315 | 2007-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700044500 | Tina Louise Toles | Military Health Care Provider | Marine Corps Security Forces Battalion, Fpo, AP 98315 | 2008-05-28 |
| 1235340738 | Edward Cliff Littler | Military Health Care Provider | Uss Henry M Jackson (ssbn 730)(blue), Fpo Ap, Bangor, WA 98315 | 2007-05-25 |
| 1871705673 | Christopher Lee Drennon | Military Health Care Provider | Mcsfco Bangor, Silverdlae, WA 98315 | 2007-05-04 |
| 1043317803 | Naval Hospital Bremerton | Military/U.S. Coast Guard Pharmacy | 2050 Barb St Ste A, Silverdale, WA 98315 | 2006-09-20 |
| 1538191283 | Matthew H Mcclernan | Military Health Care Provider | Uss Kentucky Ssbn 737 Gold, 2100 Thresher Ave, Silverdale, WA 98315 | 2006-07-06 |
| 1962723668 | Christopher Deon Davis | Military Health Care Provider | 2100 Thresher Ave, Uss Henry M Jackson Ssbn 730(g), Silverdale, WA 98315 | 2010-06-16 |
| 1366773038 | Mario M Faria | Military Health Care Provider | 2100 Thresher Ave, Uss Pennsylvania Ssbn 735, Silverdale, WA 98315 | 2010-01-20 |
| 1386689560 | Richard E Bolton | Military Health Care Provider | 2100 Thresher Ave, Uss Nevada, Silverdale, WA 98315 | 2006-06-19 |
| 1003442310 | Gary Whittaker | Marriage & Family Therapist | 1099 Tautog Circle, Silverdale, WA 98315-1012 | 2020-03-18 |
| 1609976406 | Robert Bruce Ludy | Personal Emergency Response Attendant | 2000 Thresher Ave, Silverdale, WA 98315-2004 | 2006-09-22 |
| Find all providers in zip 98315 | ||||
| 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 |
|---|---|---|---|---|
| 1679507289 | Ginger Bouma | Physician Assistant | 3505 Nw Anderson Hill Rd Ste 219, Silverdale, WA 98383-9161 | 2006-07-10 |
| 1952392102 | James A Allen Jr. | Physician Assistant | 4409 Nw Anderson Hill Rd, Silverdale, WA 98383-6807 | 2005-11-04 |
| 1164048922 | Katelyn Marie Spencer | Physician Assistant | 3100 Nw Bucklin Hill Rd Ste 202, Silverdale, WA 98383-8362 | 2020-06-17 |
| 1124667274 | Emmett Weissman | Physician Assistant | 10452 Silverdale Way Nw, Silverdale, WA 98383-9411 | 2020-01-06 |
| 1700435369 | Bailey Holland | Physician Assistant | 10452 Silverdale Way Nw, Silverdale, WA 98383-9411 | 2019-09-06 |
| 1184123622 | Bianca Trinidad Mercado | Physician Assistant | 2200 Nw Myhre Rd, Silverdale, WA 98383-7681 | 2018-02-11 |
| 1396128609 | Karen M. Smith | Physician Assistant | 9621 Ridgetop Blvd Nw, Silverdale, WA 98383 | 2015-07-06 |
| 1124420674 | Kathryn M Osborne | Physician Assistant | 1780 Nw Myhre Rd Ste 1220, Silverdale, WA 98383-8676 | 2014-09-16 |
| 1336570134 | Danrung Vanichkul | Physician Assistant | 9621 Ridgetop Blvd Nw, Silverdale, WA 98383-8502 | 2013-12-03 |
| 1164859435 | Rachel Waldman | Physician Assistant | 2200 Nw Myhre Rd, Silverdale, WA 98383-7681 | 2013-10-02 |
| Find all providers in SILVERDALE | ||||
| City | SILVERDALE |
| Zip Code | 98315 |
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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.