Keith A Mosher Jr. (NPI# 1043366735, PAC ID# 8325941388) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1043366735 |
| PAC ID by PECOS | 8325941388 |
| Professional Enrollment ID | I20040128000919 |
| Full Name | Keith A Mosher Jr. |
| Organization Legal Name | WT MEDICAL ASSOCIATES |
| Address |
31 Meridian Springs Dr Jackson TN 38301-5900 |
| Phone Number | 7312560526 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 1951650613 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440130 | BAPTIST MEMORIAL HOSPITAL UNION CITY |
| 440002 | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 420 Wilkinson Dr, Fl 2, Dyersburg, TN 38024-2085 | 7312855133 | WT MEDICAL ASSOCIATES |
| 101 Jackson Walk Plaza, Jackson, TN 38301-3008 | 7314256900 | WT MEDICAL ASSOCIATES |
| 31 Meridian Springs Dr, Jackson, TN 38301-5900 | 7312560526 | WT MEDICAL ASSOCIATES |
| Organization Legal Name | WT MEDICAL ASSOCIATES |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Whitney Lain Young | Nurse Practitioner | Wt Medical Associates | 455 E Parkview St, Dyersburg, TN 38024-3111 |
| John A Osborne | General Surgery | Wt Medical Associates | 420 Wilkinson Dr, Fl 2, Dyersburg, TN 38024-2085 |
| Jenna R Griffin | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Olyn F Moore Iii | General Surgery | Wt Medical Associates | 503 E Tickle St, Suite A, Dyersburg, TN 38024-3165 |
| Fred J Sesti | Nurse Practitioner | Wt Medical Associates | 1270 Union University Dr, Suite A, Jackson, TN 38305-3856 |
| George T Edwards | General Surgery | Wt Medical Associates | 1718 Parr Ave, Suite B, Dyersburg, TN 38024-2075 |
| William N Mckee | Internal Medicine | Wt Medical Associates | 1629 Woodlawn Ave, Dyersburg, TN 38024-2025 |
| Ravinder Kaur Machra | Internal Medicine | Wt Medical Associates | 1055 Vendall Rd, Suite A, Dyersburg, TN 38024-1622 |
| Eugene Michael Finan | Obstetrics/gynecology | Wt Medical Associates | 1720 Woodlawn Ave, Suite 1, Dyersburg, TN 38024-1300 |
| Michael W Hinds | Internal Medicine | Wt Medical Associates | 215 Hawks Rd, Suite 6, Martin, TN 38237-2742 |
| Street Address |
31 MERIDIAN SPRINGS DR |
| City | JACKSON |
| State | TN |
| Zip | 38301-5900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Lynn Scott | Family Practice | Lift Wellness Inc | 101 Jackson Walk Plaza, Jackson, TN 38301 |
| Abby L Mays | Registered Dietitian Or Nutrition Professional | Jackson Madison County General Hospital | 101 Jackson Walk Plz, Jackson, TN 38301-3008 |
| Jenna R Griffin | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Katie A Johnson | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Conrado B Sioson | Internal Medicine | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Somer L Lambert | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Claude Joseph Pirtle | Internal Medicine | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Betsy Akin | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Jaclyn A Bane | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Lindsay Barnett | Nurse Practitioner | Wt Medical Associates | 101 Jackson Walk Plaza, Jackson, TN 38301-3008 |
| Find all physicians in zip 38301 | |||
| City | JACKSON |
| Zip Code | 38301 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | JACKSON + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Keith A Mosher Jr..
| 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.