Travis Jay Moss (NPI# 1225337785, PAC ID# 3072748789) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1225337785 |
| PAC ID by PECOS | 3072748789 |
| Professional Enrollment ID | I20180622002030 |
| Full Name | Travis Jay Moss |
| Organization Legal Name | PENRAD IMAGING LLC |
| Address |
2202 N Nevada Ave Colorado Springs CO 80907-6819 |
| Phone Number | 7195931799 |
| Gender | M |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1850387598 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060031 | CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES |
| 061344 | |
| 060012 | ST MARY CORWIN MED CTR, CENTURA HEALTH |
| 061322 | HEART OF THE ROCKIES REGIONAL MEDICAL CENTER |
| 060015 | CENTURA HEALTH-ST ANTHONY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2202 N Nevada Ave, Colorado Springs, CO 80907-6819 | 7195931799 | PENRAD IMAGING LLC |
| 2222 N Nevada Ave, Suite 4007, Colorado Springs, CO 80907-6863 | 7196346671 | COLORADO CARDIAC ALLIANCE, LLC |
| 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 | CATHOLIC HEALTH INITIATIVES COLORADO | |
| 2222 N Nevada Ave, Suite 4007, Colorado Springs, CO 80907-6863 | 7197768500 | CATHOLIC HEALTH INITIATIVES COLORADO |
| 6011 E Woodmen Rd, Suite 10, Colorado Springs, CO 80923-2601 | 7195931799 | PENRAD IMAGING LLC |
| 6011 E Woodmen Rd, Colorado Springs, CO 80923-2603 | CATHOLIC HEALTH INITIATIVES COLORADO | |
| 1008 Minnequa Ave, Pueblo, CO 81004-3733 | CATHOLIC HEALTH INITIATIVES COLORADO | |
| 1925 E Orman, Suite 440, Pueblo, CO 81004-3551 | 7195604744 | CATHOLIC HEALTH INITIATIVES COLORADO |
| 1925 E Orman Ave, Suite 440, Pueblo, CO 81004-3551 | 7195574744 | CATHOLIC HEALTH INITIATIVES COLORADO |
| 41 State Hwy 67, Woodland Park, CO 80863-5008 | CATHOLIC HEALTH INITIATIVES COLORADO |
| Organization Legal Name | PENRAD IMAGING LLC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John B Campbell | Diagnostic Radiology | Penrad Imaging LLC | 3050 N Circle Dr, Colorado Springs, CO 80909-1175 |
| Jon F Snider | Diagnostic Radiology | Penrad Imaging LLC | 17230 Jackson Creek Pkwy, Suite 160, Monument, CO 80132-7302 |
| Shannon L Daniels | Diagnostic Radiology | Penrad Imaging LLC | 3050 N Circle Dr, Colorado Springs, CO 80909-1175 |
| Derek Scott Bergeson | Diagnostic Radiology | Penrad Imaging LLC | 3050 N Circle Dr, Colorado Springs, CO 80909-1175 |
| Andrzej Wierzbicki Jr. | Diagnostic Radiology | Penrad Imaging LLC | 3050 N Circle Dr, Colorado Springs, CO 80909-1175 |
| Rostislav Medvid | Diagnostic Radiology | Penrad Imaging LLC | 3050 N Circle Dr, Colorado Springs, CO 80909-1175 |
| Lorenzo Orton | Diagnostic Radiology | Penrad Imaging LLC | 3050 N Circle Dr, Colorado Springs, CO 80909-1175 |
| Christopher Scott Peeters | Diagnostic Radiology | Penrad Imaging LLC | 3050 N Circle Dr, Colorado Springs, CO 80909-1175 |
| Douglas R Shaeffer | Diagnostic Radiology | Penrad Imaging LLC | 3050 N Circle Dr, Colorado Springs, CO 80909-1175 |
| Nicholas John Eisdell Moore | Diagnostic Radiology | Penrad Imaging LLC | 3050 N Circle Dr, Colorado Springs, CO 80909-1175 |
| Street Address |
2202 N NEVADA AVE |
| City | COLORADO SPRINGS |
| State | CO |
| Zip | 80907-6819 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank D Polanco | Pain Management | 1495 Garden of The Gods Rd, Suite 102, Colorado Springs, CO 80907-3429 | |
| Laura Marie Rodholm | Physical Therapy | 1495 Garden of The Gods Rd, Suite 102, Colorado Springs, CO 80907-3429 | |
| Elvin L White | Chiropractic | 1045 Garden of The Gods Rd A, Colorado Springs, CO 80907-3436 | |
| Kelsey A Kuehn | Physical Therapy | Ascend Physical Therapy PC | 753 Garden of The Gods Rd, Colorado Springs, CO 80907-3505 |
| Karli Rikli | Physical Therapy | Orthopedic Rehabilitation Associates PC | 602 Elkton Dr, Colorado Springs, CO 80907-3514 |
| Lewis Baumann | Physical Therapy | Orthopedic Rehabilitation Associates PC | 602 Elkton Dr, Colorado Springs, CO 80907-3514 |
| Daniel P Fogarty | Physical Therapy | Orthopedic Rehabilitation Associates PC | 602 Elkton Dr, Colorado Springs, CO 80907-3514 |
| Raymond A Martinez Ii | Physical Therapy | Orthopedic Rehabilitation Associates PC | 602 Elkton Dr, Colorado Springs, CO 80907-3514 |
| Ashleigh Sloane Hayden | Speech Language Pathologist | Orthopedic Rehabilitation Associates PC | 602 Elkton Dr, Colorado Springs, CO 80907-3514 |
| Shirley D Robbins | Psychologist, Clinical | 720 Elkton Dr, Suite 107, Colorado Springs, CO 80907-3516 | |
| Find all physicians in zip 80907 | |||
| City | COLORADO SPRINGS |
| Zip Code | 80907 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | COLORADO SPRINGS + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.