| John Simpson Moss, MD | |
|
171 Nc Highway 125, Roanoke Rapids, NC 27870-6460 | |
| (252) 537-5639 | |
| (252) 537-7198 |
| Full Name | John Simpson Moss |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 171 Nc Highway 125, Roanoke Rapids, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457424764 | NPI | - | NPPES |
| 5910110 | Medicaid | NC | |
| 010091209 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 200700158 (North Carolina) | Primary |
| Entity Name | Emergeortho Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376592964 PECOS PAC ID: 0749188894 Enrollment ID: O20040109000108 |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Mailing Address | Practice Location Address |
|---|---|
| John Simpson Moss, MD 120 William Penn Plz, Durham, NC 27704-2150 Ph: (919) 220-5255 | John Simpson Moss, MD 171 Nc Highway 125, Roanoke Rapids, NC 27870-6460 Ph: (252) 537-5639 |
Jannat Mujahid Khan, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 171 Nc Highway 125, Roanoke Rapids, NC 27870 Phone: 252-537-5631 | |
Dr. Richard Phillip Holm, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 171 Nc Highway 125, Roanoke Rapids, NC 27870 Phone: 252-537-5639 Fax: 252-537-7198 | |
Dr. Ganesh Bissram, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 130 Cardinal Dr, Roanoke Rapids, NC 27870 Phone: 252-535-3091 Fax: 252-535-3092 |