MEDICARE: DR. JAMES LLOYD MOSES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	35.037237	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831187194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES LLOYD MOSES M.D.

Provider Business Mailing Address
First Line	:	6441 WINCHESTER BLVD STE E
Second Line	:
City	:	CANAL WNCHSTR
State	:	OH
Zip	:	43110-2033
Country	:	US
Telephone Number	:	614-834-1263
Fax Number	:	614-834-1339

Provider Business Practice Location Address
First Line	:	1600 GATEWAY CIR
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-8650
Country	:	US
Telephone Number	:	614-274-2020
Fax Number	:	614-834-1339

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	07/01/2020

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