DR. SCOTT R. MOOSE MD
NPI 1255405023
Family Medicine in Nixa, MO

Active since November 20, 2006
940 W MOUNT VERNON ST, NIXA, MO 65714(417) 724-5200(417) 724-5203 Get Directions Write a Review

NPPES record last updated: May 9, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Scott R. Moose Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SCOTT R. MOOSE MD (NPI 1255405023) is an individual family medicine provider in Nixa, Missouri, licensed in Missouri (113804) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1255405023
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SCOTT R. MOOSECredential: MD
Location Address940 W MOUNT VERNON STNixa, MO 65714-9609
Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620
Fax(417) 724-5203
Sole ProprietorNo
Enumeration DateNovember 20, 2006
Last NPPES UpdateMay 9, 2013
NPI 1255405023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MO · 113804
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

940 W MOUNT VERNON ST, Nixa, MO 65714

Other Identifiers 5

Medicare PIN244013268MO
Medicare UPING65284MO
Medicaid209747302MO
Medicare PIN294013268MO
Medicare PIN004013230MO

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
940 W MOUNT VERNON ST, SUITE 120
NIXA, MO 65714
Internal Medicine
940 W MOUNT VERNON ST, SUITE 210
NIXA, MO 65714
Pharmacist
940 W MOUNT VERNON ST, SUITE 130
NIXA, MO 65714
Clinic/Center (Rural Health)
940 W MOUNT VERNON ST
NIXA, MO 65714
Pediatrics
940 W MOUNT VERNON ST, SUITE 220
NIXA, MO 65714
Family Medicine
940 W MOUNT VERNON ST
NIXA, MO 65714
Family Medicine
940 W MOUNT VERNON ST
NIXA, MO 65714
Nurse Practitioner (Family)
940 W MOUNT VERNON ST
NIXA, MO 65714

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255405023, enumerated as an "individual" on November 20, 2006.

The provider is located at 940 W MOUNT VERNON ST NIXA, MO 65714 and the phone number is (417) 724-5200.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.