Provider Demographics
NPI:1942200449
Name:MOSS, SAXTON T (MD)
Entity Type:Individual
Prefix:DR
First Name:SAXTON
Middle Name:T
Last Name:MOSS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:116 NATIONWIDE DRIVE
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-4271
Mailing Address - Country:US
Mailing Address - Phone:434-947-3984
Mailing Address - Fax:434-947-5950
Practice Address - Street 1:116 NATIONWIDE DRIVE
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-4271
Practice Address - Country:US
Practice Address - Phone:434-947-3984
Practice Address - Fax:434-947-5950
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101238923207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA184904OtherANTHEM
VA1942200449Medicaid
P00264759OtherMEDICARE RAILROAD
VA1942200449Medicaid
VA184904OtherANTHEM