MARY K MOODY (NPI# 1427031764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427031764 |
| Entity Type | Individual |
| Full Name | MARY K MOODY |
| Credential | PA-C |
| Practice Address |
825 Centennial Dr Chadron NE 69337-9400 |
| Mailing Address |
Po Box 431 Chadron NE 69337-0431 |
| Practice Telephone | 3084324441 |
| Practice Fax Number | 3084322130 |
| Mailing Telephone | 3084324441 |
| Mailing Fax Number | 3084322130 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2011-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 722 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477696664 | Mary E Moody | Hearing Instrument Specialist | 12 Andrew St, Lynn, MA 01901-1102 | 2007-02-15 |
| 1083683734 | Mary Frances Moody | Obstetrics & Gynecology | 4020 Wake Forest Road, Suite 201 Associates In Womens Healthcare Pa, Raleigh, NC 27609 | 2006-03-15 |
| 1316596109 | Mary Moody | Student in an Organized Health Care Education/Training Program | 1200 E Wheeling Ave, Cambridge, OH 43725-2510 | 2019-09-05 |
| 1891193744 | Mary Catherine Moody | Nurse Practitioner | 2418 W Main St, Gun Barrel City, TX 75156-3638 | 2014-12-09 |
| 1538287990 | Mary Hibbard Moody | Speech-Language Pathologist | 600 S College Ave, Tulsa, OK 74104-3126 | 2007-03-26 |
| 1386771343 | Mary E Moody | Obstetrics & Gynecology | 10400 E Alameda Ave, Denver, CO 80247-5104 | 2007-02-27 |
| Street Address |
825 CENTENNIAL DR |
| City | CHADRON |
| State | NE |
| Zip Code | 69337-9400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912980327 | Jerry L Mclain | Family Medicine | 825 Centennial Dr, Chadron, NE 69337-9400 | 2005-11-21 |
| 1174145502 | Madison Elisabeth Nitsch | Specialist/Technologist | 825 Centennial Dr, Chadron, NE 69337-9400 | 2020-05-07 |
| 1639717135 | Leah A Frye | Pharmacist | 825 Centennial Dr, Chadron, NE 69337-9400 | 2019-12-15 |
| 1194370007 | Emily M Arterburn | Family Medicine | 825 Centennial Dr, Chadron, NE 69337-9400 | 2019-08-07 |
| 1619455946 | Chadron Medical Clinic PC | Family Medicine | 825 Centennial Dr, Chadron, NE 69337 | 2018-07-30 |
| 1619479698 | Kaelyse Noel Adler | Physician Assistant | 825 Centennial Dr, Chadron, NE 69337-9400 | 2018-03-06 |
| 1992217988 | Aimy Irenaeia Mahony | Family Medicine | 825 Centennial Dr, Chadron, NE 69337-9400 | 2017-10-30 |
| 1326593674 | Keith Bradley Blaylock | Physical Therapist | 825 Centennial Dr, Chadron, NE 69337-9400 | 2016-08-16 |
| 1427502897 | Eser Graham-marski | Physical Therapist | 825 Centennial Dr, Chadron, NE 69337-9400 | 2016-08-15 |
| 1174076657 | Sarah Wirth | Physical Therapy Assistant | 825 Centennial Dr, Chadron, NE 69337-9400 | 2016-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720507759 | Tracey Linn Wilson | Case Manager/Care Coordinator | 300 Shelton Street, Chadron, NE 69337 | 2017-09-11 |
| 1962668491 | Mental Health Care Assoc | Counselor | 343 Chadron Ave, Chadron, NE 69337 | 2008-08-04 |
| 1396901898 | Desiree Dawn Moreland | Pharmacist | 825 Centennial Drive, Chadron, NE 69337 | 2008-08-04 |
| 1336360684 | Joan M. Yekel | Counselor | 651 West 4th Street, Chadron, NE 69337 | 2007-05-02 |
| 1003030065 | Sonja Lynne Dressel | Counselor | 301 West 2nd St, Chadron, NE 69337 | 2007-04-12 |
| 1689798308 | Rebecca Ann Brost | Counselor | 301 West 2nd Street, Chadron, NE 69337 | 2007-03-19 |
| 1679638472 | Teena Ionne Kenrick | Counselor | 318 Shelton St, Chaoron, NE 69337 | 2006-12-22 |
| 1861560666 | Margaret K Griffith | Counselor | 327 Ann St, Chadron, NE 69337 | 2006-12-01 |
| 1386715654 | Affinity Therapy Associates LLC | Counselor | 327 Ann Street, Chadron, NE 69337 | 2006-11-10 |
| 1093724650 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 625 West 3rd Street, Chadron, NE 69337 | 2006-08-05 |
| Find all providers in zip 69337 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659901601 | Jordan Marie Morris | Physician Assistant | 821 Bordeaux St, Chadron, NE 69337-2614 | 2020-01-17 |
| 1578705828 | Edward Allen Sydow | Physician Assistant | 825 Centennial Dr, Chadron, NE 69337-9400 | 2009-04-01 |
| 1316920655 | Heidi L Wess | Physician Assistant | 825 Centennial Dr, Chadron, NE 69337-9400 | 2005-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184434 | Jacob Solomon Morrill | Physician Assistant | 2701 W Norfolk Ave Fl 4, Norfolk, NE 68701-4407 | 2020-11-07 |
| 1609475375 | Patrick Donald Heavey | Physician Assistant | 4660 Pine St, Omaha, NE 68106-2520 | 2020-10-22 |
| 1780297440 | Tayler Marie Llewellyn | Physician Assistant | 17241 Oak Dr, Omaha, NE 68130-2428 | 2020-08-24 |
| 1154933992 | Alexandria Rae Mctaggart | Physician Assistant | 5024 S 130th St, Omaha, NE 68137-1820 | 2020-08-22 |
| 1477170082 | Audrey Caroline Smith | Physician Assistant | 1303 N 188th St, Elkhorn, NE 68022-4501 | 2020-06-30 |
| 1851917181 | Connor Evan Bliss | Physician Assistant | 2908 W 39th St Ste D, Kearney, NE 68845-1245 | 2020-06-23 |
| 1124651443 | Kathryn A Kesti | Physician Assistant | 4242 Farnam St Ste 500, Omaha, NE 68131-2850 | 2020-02-14 |
| 1760014757 | Timothy Shew | Physician Assistant | 7500 Mercy Rd Ste 1300, Omaha, NE 68124-2319 | 2020-02-07 |
| 1083264303 | Alicia K Clough | Physician Assistant | 15236 Westchester Dr, Omaha, NE 68154-2060 | 2019-09-18 |
| 1013574862 | Erin Grace Dragoo | Physician Assistant | 2310 Wesley Dr, Lincoln, NE 68512-3704 | 2019-05-28 |
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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.