MATTHEW CRAIG MOSS M.D.
NPI 1104169150
Student in an Organized Health Care Education/Training Program in Chicago, IL

NPI Status: Active since March 28, 2013

Contact Information

2525 S MICHIGAN AVE
MERCY HOSPITAL AND MEDICAL CENTER
CHICAGO, IL
ZIP 60616
Phone: (312) 567-2011

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  • Individual
  • Male
  • Student in an Organized Health Care Educ...

About MATTHEW MOSS

This page provides the complete NPI Profile along with additional information for Matthew Moss, a primary care provider established in Chicago, Illinois with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1104169150 assigned on March 2013. The practitioner's primary taxonomy code is 390200000X with license number 3900200000X (IL). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1104169150
Provider Name
MATTHEW CRAIG MOSS M.D.
Gender
Male
Entity Type
Individual
Location Address
2525 S MICHIGAN AVE MERCY HOSPITAL AND MEDICAL CENTER CHICAGO, IL 60616
Location Phone
(312) 567-2011
Mailing Address
7353 NORTH AVE. #2F RIVER FOREST, IL 60305
Mailing Phone
(818) 321-9464
Is Sole Proprietor?
Yes
Enumeration Date
03-28-2013
Last Update Date
03-28-2013
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A primary care provider (PCP) like Matthew Moss sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
License No.
3900200000X
License State
IL
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104169150
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21042618110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 2 + 6 + 1 + 8 + 1 + 1 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1104169150 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518969245DR. CHARLES D CAMPBELL M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)2525 S MICHIGAN AVE
CHICAGO, IL 60616
(312) 961-9632
1902897002 MING H. HWANG M.D.
Individual
Internal Medicine (Cardiovascular Disease)2525 S MICHIGAN AVE
CHICAGO, IL 60616
(312) 567-2380
1568445146MR. ROBERT CHANNON M.D.
Individual
Psychiatry & Neurology (Psychiatry)2525 S MICHIGAN AVE B-390
CHICAGO, IL 60616
(312) 567-6691
1700869385MR. JERE FREIDHEIM M.D.
Individual
Pediatrics2525 S MICHIGAN AVE B-390
CHICAGO, IL 60616
(312) 567-6691
1952384448MS. MICHELE L HAPTONSTAHL LCSW
Individual
Social Worker (Clinical)2525 S MICHIGAN AVE B-390
CHICAGO, IL 60616
(312) 567-6691
1205819794MR. KENNETH HORACE LCSW
Individual
Social Worker (Clinical)2525 S MICHIGAN AVE B-390
CHICAGO, IL 60616
(312) 567-6691
1003890310MR. ROBERT J GALLIGAN PSY.D.
Individual
Psychologist (Clinical)2525 S MICHIGAN AVE B-390
CHICAGO, IL 60616
(312) 567-6691
1275517401MR. MARK KOSANOVICH M.D.
Individual
Obstetrics & Gynecology2525 S MICHIGAN AVE B-390
CHICAGO, IL 60616
(312) 567-6691
1336123496MS. ADRIANNE FLYNN DADE M.D.
Individual
Obstetrics & Gynecology2525 S MICHIGAN AVE B-390
CHICAGO, IL 60616
(312) 567-6691
1386629996MR. FRITZ R MICHEL M.D.
Individual
Obstetrics & Gynecology2525 S MICHIGAN AVE B-390
CHICAGO, IL 60616
(312) 567-6691
1578548046MS. JUDITH A OPAT LCPC
Individual
Counselor (Mental Health)2525 S MICHIGAN AVE B-390
CHICAGO, IL 60616
(312) 567-6691
1174508642MR. JOHN PATTERSON M.D.
Individual
Obstetrics & Gynecology2525 S MICHIGAN AVE B-522
CHICAGO, IL 60616
(312) 567-6691
1417932500MS. NICOLE SUMIDA LCSW
Individual
Social Worker (Clinical)2525 S MICHIGAN AVE B-390
CHICAGO, IL 60616
(312) 567-6691
1982689931MS. DONA M PERRY M.D.
Individual
Obstetrics & Gynecology2525 S MICHIGAN AVE B-390
CHICAGO, IL 60616
(312) 567-6691
1548246564 JUANITO BARTOLOME MD
Individual
Surgery2525 S MICHIGAN AVE B-390
CHICAGO, IL 60616
(312) 567-6691
1457338246 CATHERINE MEYER MD
Individual
Internal Medicine (Rheumatology)2525 S MICHIGAN AVE B-522
CHICAGO, IL 60616
(312) 567-6691
1558348375 JEAN LEE MD
Individual
Internal Medicine2525 S MICHIGAN AVE B-390
CHICAGO, IL 60616
(312) 567-6691
1942287560 PIERRE R NOISETTE MD
Individual
Pediatrics2525 S MICHIGAN AVE B-390
CHICAGO, IL 60616
(312) 567-6691
1740267368 MILEN P PEEV MD
Individual
Pediatrics (Pediatric Cardiology)2525 S MICHIGAN AVE B-390
CHICAGO, IL 60616
(312) 567-6691
1811974314 DAVID TARTOF MD., PH.D., INC
Individual
Internal Medicine (Rheumatology)2525 S MICHIGAN AVE DOCTORS OFFICE CENTER - 2ND FLOOR
CHICAGO, IL 60616
(312) 315-5115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104169150, enumerated in the NPI registry as an "individual" on March 28, 2013

The provider is located at 2525 S Michigan Ave Mercy Hospital And Medical Center Chicago, Il 60616 and the phone number is (312) 567-2011

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

This NPI record was last updated on March 28, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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