JOHN S MOODY (NPI# 1285844183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285844183 |
Entity Type | Individual |
Full Name | JOHN S MOODY |
Credential | MD |
Practice Address |
501 N. Elam Avenue Greensboro NC 27403 |
Mailing Address |
1317 N Elm St Ste. 1b Greensboro NC 27401-1033 |
Practice Telephone | 3362749617 |
Practice Fax Number | 3364822177 |
Mailing Telephone | 3362749617 |
Mailing Fax Number | 3364822177 |
Enumeration Date | 2007-05-22 |
Last Update Date | 2012-08-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
2008-00671 | NC | Allopathic & Osteopathic Physicians |
N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
26535 | AL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 5909355 | 05 | |
NC | WELLPATH/COVENTRY | 2069888 | 01 |
VA | 1285844183 | 05 | |
NC | MEDICARE RAILROAD | P00838356 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194948117 | John Lindsay Moody | Psychiatry & Neurology | 24961 Thompson Dr, Sedro Woolley, WA 98284-8246 | 2007-04-10 |
1043376841 | John M Moody | Family Medicine | 113 Moody Cir, Lyons, GA 30436-1428 | 2006-12-28 |
1376173120 | John Moody | Behavior Technician | 7700 Minnesota Ave, Saint Louis, MO 63111-3336 | 2020-01-21 |
1487159059 | John Moody | Orthopaedic Surgery | 3226 Kings Hwy, Brooklyn, NY 11234-2655 | 2018-03-27 |
1922419969 | John Paul Moody IIi | Chiropractor | 2389 Renaissance Dr, Suite A, Las Vegas, NV 89119-6106 | 2014-05-13 |
1457411522 | John A Moody | Dentist | 4040 Morsay Dr, Rockford, IL 61107-4851 | 2006-12-11 |
1861595100 | John Bryant Moody | Dentist | 2215 Portland Ave, Louisville, KY 40212-1033 | 2006-09-05 |
1629086285 | John Milton Moody | Counselor | 4146 Carmichael Ct, Montgomery, AL 36106-2871 | 2006-08-03 |
Street Address |
501 N. ELAM AVENUE |
City | GREENSBORO |
State | NC |
Zip Code | 27403 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073792974 | Stacy Wentworth | Radiology | 501 N. Elam Avenue, Greensboro, NC 27403 | 2007-10-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518581412 | Tina Tate | Nurse Practitioner | Behavioral Health Hospital, 700 Walter Reed Drive, Greensboro, NC 27403 | 2020-06-05 |
1609438514 | Gail Corneau | Psychologist | Uncg Psychology Clinic, 1100 West Market Street, Greensboro, NC 27403 | 2019-07-01 |
1528527298 | Kendall Austin Macdonald | Hearing Instrument Specialist | 2823 A Spring Garden St, Suite A, Greensboro, NC 27403 | 2019-03-13 |
1093292237 | Andrew Robertson | Pharmacist | 1903 W. Florida St, Greensboro, NC 27403 | 2018-07-20 |
1447778071 | Bac Developmental Program Inc | Day Training, Developmentally Disabled Services | 2203 Coliseum Blvd, Greensboro, NC 27403 | 2017-09-04 |
1144607128 | Waldo's Optical | Eyewear Supplier (Equipment, not the service) | 2500 Spring Garden St., Suite C, Greensboro, NC 27403 | 2015-04-29 |
1851703144 | Tedra Slade | Social Worker | 612 Pasteur Dr., Suite 300, Greensboro, NC 27403 | 2014-05-21 |
1336568807 | Brian Sninsky | Urology | Alliance Urology Specialists, Pa, 509 N. Elam Ave., 2nd Floor, Greensboro, NC 27403 | 2014-04-14 |
1003237785 | Peter Reich | Counselor | 907 Englewood St, Greensboro, NC 27403 | 2013-12-23 |
1508295429 | Alexander Wilson Lpc Inc | Counselor | 3719 West Market Street, Suite B, Greensboro, NC 27403 | 2013-11-01 |
Find all providers in zip 27403 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316999857 | Matthew A Manning | Radiology | 501 N Elam Avenue, Greensboro, NC 27403-1118 | 2006-05-16 |
1417136185 | Sarah Elizabeth Squire | Radiology | 501 N Elam Avenue, Dept of Radiation Oncology, Greensboro, NC 27401-1118 | 2007-10-30 |
1073792974 | Stacy Wentworth | Radiology | 501 N. Elam Avenue, Greensboro, NC 27403 | 2007-10-26 |
1144313321 | Sandra Elaine Mitchell | Radiology | 1317 N Elm Street, Suite 1b, Greensboro, NC 27401-1023 | 2006-10-02 |
1801835442 | James Donald Kinard | Radiology | 501 N Elam Ave, Greensboro, NC 27403-1118 | 2006-06-06 |
1295788313 | Robert J Murray | Radiology | 501 N Elam Avenue, Greensboro, NC 27403-1118 | 2006-05-18 |
1609828698 | Greensboro Radiation Oncologists | Radiology | 501 N Elam Avenue, Greensboro, NC 27403-1118 | 2006-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396121745 | Orit Kaidar - Person | Radiology | 101 Manning Drive, Cb #7512, Radiation Oncology, Chapel Hill, NC 27599-7512 | 2015-08-08 |
1134547201 | Zachary J Reitman | Radiology | 2301 Erwin Rd Duke University Hospital, Durham, NC 27710 | 2014-04-04 |
1861810756 | Susan Gr Mcduff | Radiology | Dumc 20 Duke Medical Center, Durham, NC 27710-0001 | 2014-03-28 |
1679830699 | Colette Joan Shen | Radiology | 101 Manning Drive Cb 7512, Chapel Hill, NC 27599-3307 | 2012-04-15 |
1124397328 | Aaron Tyler Wild | Radiology | 200 Queens Rd Ste 400, Charlotte, NC 28204-3264 | 2011-12-19 |
1891964615 | John William Nelson | Radiology | 5524 Hawthorne Park, Raleigh, NC 27613-6006 | 2008-02-26 |
1194905984 | Daniel G. Baseman | Radiology | 70 Neely Rd, Brevard, NC 28712-4267 | 2007-11-08 |
1326251075 | North Carolina Oncology Associates | Radiology | 4101 Macon Pond Road, Raleigh, NC 27607-6319 | 2007-05-08 |
1164552865 | Christopher Ryan Kelsey | Radiology | Morris Building, Science Drive, Room 05135, Durham, NC 27710-0001 | 2007-03-06 |
1619006681 | Bridget Fey Koontz | Radiology | Duke University Dept of Radiation Oncology, Dumc Box 3085, Durham, NC 27710-0001 | 2007-03-05 |
Find all providers with the same taxonomy |
City | GREENSBORO |
Zip Code | 27403 |
Please comment or provide details below to improve the information on JOHN S MOODY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.