IndividualActive
Derrick Moss, ATC
NPI 1932598455 · Physician Assistant · Orange City, IA
Provider details
- NPI number
- 1932598455
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 001063 (IA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
208 8th St Sw
Orange City, IA 51041-9022
Phone: (712) 707-7287
Approximate (ZIP-level) locationGet directions
Mailing address
508 Zuider Zee Dr Se
Orange City, IA 51041-1764
Registry dates
- Enumerated
- 2015-01-21
- Last updated
- 2022-04-18
- Certified
- 2022-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.