DR. WAYNE A. MOODY (NPI# 1366447591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366447591 |
| Entity Type | Individual |
| Full Name | DR. WAYNE A. MOODY |
| Credential | M.D. |
| Practice Address |
2 Great Falls Plz Suite 21 Auburn ME 04210-5966 |
| Mailing Address |
Po Box 1638 Albany NY 12201-1638 |
| Practice Telephone | 2073334710 |
| Practice Fax Number | 2073334715 |
| Mailing Telephone | 2077777111 |
| Mailing Fax Number | 2077836660 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2011-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 011739 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | 200009601 | 01 | |
| MEDICARE ASC FACILITY | 201017 | 01 | |
| ME | MAINECARE | 270310099 | 01 |
| ANTHEM | 001862 | 01 | |
| USPS WC | 100294000 | 01 | |
| CIGNA | M4231 | 01 | |
| TRAVELERS/CORE/MEDNET | 010416156 | 01 | |
| MEDICARE | 015612 | 01 | |
| AETNA | 1044480 | 01 | |
| MEDICARE CLINIC FACILITY | MM0716 | 01 | |
| DMERC | 0378600001 | 01 | |
| NEW MEDICARE PTAN | DX4496 | 01 | |
| HARVARD | D03588 | 01 |
| Street Address |
2 GREAT FALLS PLZ SUITE 21 |
| City | AUBURN |
| State | ME |
| Zip Code | 04210-5966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821442039 | Community Clinical Services, Inc. | Clinic/Center | 2 Great Falls Plz, Suite 21, Room A, Auburn, ME 04210-5966 | 2016-04-14 |
| 1780014175 | Kelley Hilton | Specialist/Technologist | 2 Great Falls Plz, Suite 21, Auburn, ME 04210-5966 | 2013-11-21 |
| 1053645622 | Lawrence E. Levy D.m.d., P.a | Dentist | 2 Great Falls Plz, Auburn, ME 04210-5966 | 2009-09-29 |
| 1295997468 | Christa Jean Burpee | Massage Therapist | 2 Great Falls Plz, Auburn, ME 04210-5966 | 2008-06-30 |
| 1669653697 | Bryan Leclerc | Dentist | 2 Great Falls Plz, Auburn, ME 04210-5966 | 2007-11-19 |
| 1023219557 | Central Maine Pulmonary Associates | Specialist | 2 Great Falls Plz, Suite 3b, Auburn, ME 04210-5966 | 2007-05-31 |
| 1285746651 | Jeffrey Jordan | Dentist | 2 Great Falls Plz, Auburn, ME 04210-5966 | 2006-08-31 |
| 1518079995 | Anastasia Theodorou D.m.d., P.a. | Dentist | 2 Great Falls Plz, Auburn, ME 04210-5966 | 2006-08-31 |
| 1194736942 | Androscoggin Cardiology Associates | Internal Medicine | 2 Great Falls Plz, Suite 3a, Auburn, ME 04210-5966 | 2006-08-10 |
| 1942223656 | Jill A Young | Dietitian, Registered | 2 Great Falls Plz, 6th Floor, Auburn, ME 04210-5966 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538632245 | Matthew Charles Dove | Specialist/Technologist | 30 Belgrade Ave, Suite A, Auburn, ME 04210 | 2019-01-04 |
| 1851880603 | Dba Central Maine Conditioning Clinic | Massage Therapist | 30 Belgrade Ave Suite A, Auburn, ME 04210 | 2018-05-08 |
| 1285189654 | Kimberly Ann Boutwell | Nurse Practitioner | 15 Gracelawn Road, Auburn, ME 04210 | 2016-08-16 |
| 1487036554 | Eric Morrow | Specialist/Technologist | 36 Belgrade Ave, Auburn, ME 04210 | 2015-06-24 |
| 1750770152 | Larissa J Brown | Marriage & Family Therapist | 86 Main Sreet, Suite 302, Auburn, ME 04210 | 2015-01-22 |
| 1659771046 | Daniel Fontaine | Pharmacist | 689 Minot Ave., Auburn, ME 04210 | 2014-09-04 |
| 1104236793 | Caitlin White | Occupational Therapist | 415 Rodman Road, Auburn, ME 04210 | 2014-05-05 |
| 1780954883 | Richard Marc Pelletier | Counselor | 24 Dunn Street, Auburn, ME 04210 | 2012-01-05 |
| 1285929026 | Cynthia Morgan | Social Worker | 60 Court St., Auburn, ME 04210 | 2011-06-09 |
| 1972811164 | Wendy Thomas-blais | Social Worker | 229 Center St 2, Auburn, ME 04210 | 2010-09-22 |
| Find all providers in zip 04210 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194913749 | Auburn Memorial Medical Services, PC | Orthopaedic Surgery | 17 Lansing Street, Attn: C. Mcloud, Auburn, NY 13021 | 2007-10-09 |
| 1578629317 | Mark Trent Sylvester | Orthopaedic Surgery | 12719 Shockley Woods Court, Auburn, CA 95603 | 2006-12-28 |
| 1639196371 | Raad Andrew Al-shaikh | Orthopaedic Surgery | 11720 Education St Ste 5, Auburn, CA 95602-2419 | 2006-07-17 |
| 1184641904 | Ada Cheung | Orthopaedic Surgery | 121 N Division St, Auburn, WA 98001 | 2006-07-16 |
| 1669419081 | Auburn Orthopaedic Center, LLC | Orthopaedic Surgery | 1800 Lakeside Cir, Auburn, AL 36830-2842 | 2006-06-02 |
| 1407817646 | Timothy John Mickel | Orthopaedic Surgery | 11795 Education St Ste 110, Auburn, CA 95602-2469 | 2006-03-29 |
| 1538137724 | Brian David Tallerico | Orthopaedic Surgery | Auburn Orthopaedic Specialists, 77 Nelson Street, Suite 120, Auburn, NY 13021-1983 | 2006-03-14 |
| 1528058229 | David Allen Oliver | Orthopaedic Surgery | 275 Grass Valley Hwy, Auburn, CA 95603-4533 | 2005-10-24 |
| 1861497083 | Paul R. Cain | Orthopaedic Surgery | 690 Minot Ave, Ste 1, Auburn, ME 04210-3922 | 2005-06-15 |
| 1447602644 | Spectrum Healthcare Partners, P.a. | Orthopaedic Surgery | 690 Minot Ave, Auburn, ME 04210-3922 | 2016-07-12 |
| Find all providers in AUBURN | ||||
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| 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.