{"npi":"1306178256","type":"NPI-1","status":"active","name":{"display":"Motaz Moussa MD","other":[],"first":"MOTAZ","last":"MOUSSA","credential":"MD"},"specialty":{"primary_taxonomy":"207RI0011X","primary_taxonomy_description":"Interventional Cardiology","slug":"interventional-cardiology","schema_org_specialty":"Cardiovascular","all":[{"code":"207RC0000X","description":"Cardiovascular Disease","primary":false,"state":"OH","license":"35.129093"},{"code":"207RI0011X","description":"Interventional Cardiology","primary":false,"state":"OH","license":"35.129093"},{"code":"207RI0011X","description":"Interventional Cardiology","primary":true,"state":"FL","license":"ME156847"}]},"addresses":[{"purpose":"LOCATION","street_1":"410 LIONEL WAY STE 201","city":"DAVENPORT","state":"FL","postal_code":"338377809","country_code":"US","phone":"8634225331","fax":"8634225336"},{"purpose":"MAILING","street_1":"PO BOX 449","city":"MARIETTA","state":"OH","postal_code":"457500449","country_code":"US","phone":"7403744500","fax":"7403745887"}],"license":{"state":"FL","number":"ME156847"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0175394","state":"OH","issuer":null},{"type_code":"01","label":"Other","value":"P01784682","state":"OH","issuer":"RAILROAD MEDICARE - MHCPI"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220727003872","type_code":"14-C3","type_desc":"PRACTITIONER - INTERVENTIONAL CARDIOLOGY","state":"FL","pac_id":"9931494010"}]},"enumeration_date":"2010-02-03","last_updated":"2023-10-23","_meta":{"source":"NPPES","snapshot_date":"2023-10-23","doc_url":"https://findmynpi.com/api"}}