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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: August 16, 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
Phone(417) 724-5200
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
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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.

ST. JOHN'S CLINIC, INC.
Clinic/Center (Rural Health)
940 W MOUNT VERNON ST
NIXA, MO 65714
Christian County (417) 724-5437
DR. THOMAS E JONES OD
Optometrist
940 W MOUNT VERNON ST, SUITE 120
NIXA, MO 65714
Christian County (417) 724-5335
DR. GUY F. MILLER DO
Family Medicine
940 W MOUNT VERNON ST
NIXA, MO 65714
Christian County (417) 724-5200
ELICIA SUTTON FNP
Nurse Practitioner (Family)
940 W MOUNT VERNON ST
NIXA, MO 65714
Christian County (417) 724-5280
ST JOHN'S REGIONAL HEALTH CENTER
Pharmacist
940 W MOUNT VERNON ST, SUITE 130
NIXA, MO 65714
Christian County (417) 724-5350
MERCY CLINIC-SPRINGFIELD COMMUNITIES
Eyewear Supplier
940 W MOUNT VERNON ST, SUITE 120
NIXA, MO 65714
Christian County (417) 724-5335
REBECCA TARATUTA
Nurse Practitioner (Family)
940 W MOUNT VERNON ST, STE 100
NIXA, MO 65714
Christian County (417) 724-5300
DUSTIN RYAN TOMPKINS D.O.
Internal Medicine
940 W MOUNT VERNON ST, SUITE 200
NIXA, MO 65714
Christian County (417) 724-5300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Moose's NPI number?

The NPI number for Scott Moose is 1255405023. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Scott Moose located?

Scott Moose practices at 940 W Mount Vernon St, Nixa, MO 65714. The listed phone number is (417) 724-5200.

What is Scott Moose's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Scott Moose was last updated on May 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.