Provider Demographics
NPI:1003494105
Name:MOSES, ELENA RAE (DO)
Entity type:Individual
Prefix:DR
First Name:ELENA
Middle Name:RAE
Last Name:MOSES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ELENA
Other - Middle Name:RAE
Other - Last Name:YARMY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1917 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-1208
Mailing Address - Country:US
Mailing Address - Phone:419-358-8856
Mailing Address - Fax:567-429-0262
Practice Address - Street 1:1917 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-1208
Practice Address - Country:US
Practice Address - Phone:419-358-8856
Practice Address - Fax:567-429-0262
Is Sole Proprietor?:No
Enumeration Date:2021-03-30
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.017934207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology