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MARK J. MOSS DPM P.C. NPI 1376877027


NPI Information

NPI: 1376877027
Provider Name: MARK J. MOSS DPM P.C.
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
29701 6 MILE RD STE 100A
LIVONIA, MI
ZIP 48152
Phone: (734) 261-3808
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MARK J. MOSS DPM P.C. is a podiatrist in Livonia, MI. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. MARK J. MOSS DPM P.C. NPI is 1376877027. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

29701 6 MILE RD STE 100A
LIVONIA, MI
ZIP 48152-601
Phone: (734) 261-3808
Fax: (734) 261-3821

The provider's authorized official is Mark J Moss .
The authorized official title is Owner and has the following contact phone number (734) 261-3808.

The enumeration date for this NPI number is 9/29/2009 and was last updated on 11/21/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist5901000715MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14858254620OTHERMICHIGANBLUE CROSS
2T99712MEDICARE UPINMICHIGAN
31352311MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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