Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1134394638 Deactivated / Inactive NPI Male Practitioner

Dr. Mitchell A Moos , MD

Urology • Canyonville, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mitchell Moos has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 25, 2008
NPI Deactivation Date December 10, 2018
Total Practice Duration ~10 Years of Practice (2008 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Mitchell Moos, MD was a registered Urology practicing in Canyonville, OR. Throughout an active medical career spanning 10 years, Dr. Moos provided care at the practice location at 115 SW PINE STREET until profile deactivation on 2018-12-10.

Practice Location & Contact Primary Location

Practice Address

115 Sw Pine Street

Canyonville, OR 974170198

Telephone 5418394211
Fax 5418394858
Associated Practice Facility / Clinic
🏢 Falk Family Medicine, Llc Facility NPI 1255521225

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Canyonville, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Canyonville, OR (201 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OR MD09435

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Jon Gambill , PA-C

Physician Assistant - Medical

NPI 1073586319

Physician Assistant (Certified)

Dr. Gregory Falk , DO

Family Medicine

NPI 1144377433

Doctor of Osteopathic Medicine (D.O.)

Bonita Acosta , FNP

Nurse Practitioner - Family

NPI 1295882512

Family Nurse Practitioner

Shari Allen , FNP

Nurse Practitioner - Family

NPI 1679620967

Family Nurse Practitioner

Shannon Suhr , FNP

Nurse Practitioner - Family

NPI 1750514535

Family Nurse Practitioner

Richard Cooksley , PA

Physician Assistant - Medical

NPI 1942271192

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 10, 2018

Record deactivated on December 10, 2018

NPI Profile Active January 21, 2012

NPI status registered as active in NPPES database

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Updated Practice Location January 21, 2012

Registered at 115 SW PINE STREET, CANYONVILLE, OR 974170198 (Tel: 5418394211)

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Updated Business Mailing Address January 21, 2012

Registered at PO BOX 198, CANYONVILLE, OR 974170198 (Tel: 5418394211)

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Provider Name / Credentials Updated January 21, 2012

Recorded as MITCHELL MOOS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2012

Urology (License #MD09435 in OR)

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Initial NPI Registration & Enumeration April 25, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134394638
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2008
Last Update: January 21, 2012
Deactivation Date: December 10, 2018

Mailing Address

Po Box 198

Canyonville, OR 974170198

Phone: 5418394211

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.