DR. TIMOTHY MOSS MD/PHD NPI 1568721850

NPI Information

  • NPI: 1568721850
  • Provider Name: DR. TIMOTHY MOSS, MD/PHD
  • Classification: Medical Genetics - 207SG0201X
  • Specialization: Clinical Genetics (M.D.)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 25 MICHIGAN ST NE STE 2000
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 391-2700

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NPI Details

DR. Timothy Moss, MD/PHD is a clinical genetics (m.d.) medical genetics in Grand Rapids, MI. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. DR. Timothy Moss, MD/PHD NPI is 1568721850. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

25 MICHIGAN ST NE STE 2000
GRAND RAPIDS, MI
ZIP 49503-526
Phone: (616) 391-2700

The NPI 1568721850 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/8/2012 and was last updated on 4/23/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207SG0201XMedical GeneticsClinical Genetics (M.D.)4301501458MICHIGANYes

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: 3/30/2025

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