MR. JORDAN HARRISON MOSS SR. (NPI# 1952471625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952471625 |
| Entity Type | Individual |
| Full Name | MR. JORDAN HARRISON MOSS SR. |
| Practice Address |
910 Inverness Cors Birmingham AL 35242-3785 |
| Mailing Address |
5025 Grand Rock Rd Birmingham AL 35223-1647 |
| Practice Telephone | 2059913338 |
| Mailing Telephone | 2059571166 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158840 | Jordan Moss | Student in an Organized Health Care Education/Training Program | 304 Shorter Ave Nw Ste 201, Rome, GA 30165-4256 | 2019-05-06 |
| 1992206999 | Jordan Alexis Moss | Peer Specialist | 3015 E Skelly Dr Ste 103, Tulsa, OK 74105-6344 | 2018-02-24 |
| 1881193134 | Jordan Moss | Speech-Language Pathologist | 2400 47th Ave S, Grand Forks, ND 58201 | 2018-02-01 |
| Street Address |
910 INVERNESS CORS |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35242-3785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960138 | A Friend of Mind | Behavioral Analyst | 5271 Harvest Ridge Ln, Birmingham, AL 35242 | 2020-10-23 |
| 1295347789 | Restore Therapy Services, Ltd | Physical Therapist | 6328 Farley Lane, Birmingham, AL 35242 | 2020-08-18 |
| 1447894175 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 3201 Endeavor Lane, Vestavia Hills, AL 35242 | 2019-11-06 |
| 1952956468 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 6219 Tattersall Blvd., Hoover, AL 35242 | 2019-08-02 |
| 1033670120 | Rachel Monahan -patterson | Registered Nurse | 7191 Cahaba Valley Road, Suite 300, Birmingham, AL 35242 | 2019-03-29 |
| 1891283818 | Elizabeth Mcrae | Counselor | 150 Glenwood Lane, Birmingham, AL 35242 | 2018-04-25 |
| 1326549429 | Mary Virginia Colvert | Nurse Practitioner | 200 Riverhill Business Park, #250, Birmingham, AL 35242 | 2018-02-23 |
| 1669980504 | Liberty Park Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 1940 Stonegate Dr Ste 30, Vestavia Hls, AL 35242 | 2018-01-12 |
| 1942710983 | Southern Dental Sleep Specialists LLC | Clinic/Center | 4960 Valleydale Rd Ste 100, Birmingham, AL 35242 | 2017-10-04 |
| 1922526557 | Sarah Katherine Fleming | Specialist/Technologist | 1524 Southern Drive, Birmingham, AL 35242 | 2017-09-04 |
| Find all providers in zip 35242 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487179594 | Integrity Medical LLC | Orthotic Fitter | 1907 Rainbow Dr Ste B, Gadsden, AL 35901-5505 | 2017-08-09 |
| 1942621016 | United Prosthetics & Orthotics, LLC | Orthotic Fitter | 709 Memorial Dr, B, Bessemer, AL 35022-6029 | 2013-12-17 |
| 1417353780 | Rodger Doyle Smith | Orthotic Fitter | 3421 Medical Park Dr, Med Park 2, Mobile, AL 36693-3330 | 2014-11-13 |
| City | BIRMINGHAM |
| Zip Code | 35242 |
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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.