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NPI Code Detail

MEDICARE: DR. JAMES GARRET MOUSER M.D.

MEDICARE:  DR. JAMES GARRET MOUSER  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
1207W00000XOphthalmology Physician35-089404OH
2207W00000XOphthalmology Physician35.089404OH

Other Identifiers

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

General Provider Information

NPI Number : 1083795892
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES GARRET MOUSER M.D.
Provider Business Mailing 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 : 614-272-8059
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 : 614-272-8059
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2006
Last Update Date : 12/31/2020

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