DOUGLAS C MOODY (NPI# 1427040450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427040450 |
| Entity Type | Individual |
| Full Name | DOUGLAS C MOODY |
| Credential | M.D. |
| Practice Address |
11029 Montgomery Rd Cincinnati OH 45249-2306 |
| Practice Telephone | 5138912211 |
| Practice Fax Number | 5138912218 |
| Mailing Telephone | 5138912211 |
| Mailing Fax Number | 5138912218 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2010-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35057147M | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0709317 | 05 |
| Street Address |
11029 MONTGOMERY RD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45249-2306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659363687 | Thomas W Grimm | Family Medicine | 11029 Montgomery Rd, Cincinnati, OH 45249-2306 | 2005-08-16 |
| 1528456803 | Anne Jennings | Nurse Practitioner | 11029 Montgomery Rd, Cincinnati, OH 45249-2306 | 2015-01-08 |
| 1104145762 | Anne Vaz | Nurse Practitioner | 11029 Montgomery Rd, Cincinnati, OH 45249-2306 | 2010-05-21 |
| 1992909980 | Sarah M Kindt | Family Medicine | 11029 Montgomery Rd, Cincinnati, OH 45249-2306 | 2007-06-13 |
| 1639391683 | Joyce Rao Panganamala | Internal Medicine | 11029 Montgomery Rd, Cincinnati, OH 45249-2306 | 2007-05-02 |
| 1679520993 | Trihealth Physician Practices, LLC | Family Medicine | 11029 Montgomery Rd, Cincinnati, OH 45249-2306 | 2006-05-30 |
| 1841282761 | Richard H Vonderbrink | Family Medicine | 11029 Montgomery Rd, Cincinnati, OH 45249-2306 | 2005-08-17 |
| 1366434391 | Jeffrey W Merling | Family Medicine | 11029 Montgomery Rd, Cincinnati, OH 45249-2306 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235668526 | Kayla Murray | Midwife | 8763 Weller Road, Cincinnati, OH 45249 | 2017-06-08 |
| 1992041214 | Ohio River Laboratories, LLC | Clinical Medical Laboratory | Ohio River Laboratories, LLC, 1841 Mason Montgomery Rd, Unit 1c, Cincinnati, OH 45249 | 2012-12-13 |
| 1073832762 | Aurora Home Care Inc. | In Home Supportive Care | 9042 Winthrop Drive, Cincinnati, OH 45249 | 2010-05-20 |
| 1407012842 | Dr Jennifer Munson Kidney Care Specialist LLC | Internal Medicine | 11397 Terwillingers Creek Drive, Cincinnati, OH 45249 | 2008-08-05 |
| 1114105244 | Individual Care Center | Community/Behavioral Health | 8833 Chapel Square Lane, Cincinnati, OH 45249 | 2008-01-31 |
| 1083823553 | James Michael Fuchs | Dentist | 8805 Governors Hill, #105, Cincinnati, OH 45249 | 2007-05-22 |
| 1871715474 | Conrad Thomas Landing | Physical Therapist | 8650 Govenors Hill Dr., Cincinnati, OH 45249 | 2007-05-03 |
| 1649317108 | Dr. E. M. Kirstein & Associates, Inc. | Optometrist | 8211 Cornell Rd., Suite 510, Cincinnati, OH 45249 | 2007-01-31 |
| 1790821791 | Melissa Elaine Bowman | Optometrist | 11919 Montgomery Rd, Cincinnati, OH 45249 | 2007-01-29 |
| 1477621258 | Sergio L Mezcua | Internal Medicine | 11140 Montgomery Road, Suite 2500, Montgomery, OH 45249 | 2006-12-01 |
| Find all providers in zip 45249 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126314 | Stawa Rajab Blanco | Family Medicine | 4900 Delhi Rd, Cincinnati, OH 45238-5345 | 2020-08-26 |
| 1861021016 | Md360, LLC | Family Medicine | 4605 E Galbraith Rd Ste 110, Cincinnati, OH 45236-2887 | 2020-04-08 |
| 1851942700 | Eastside Family Care, LLC | Family Medicine | 872 Ohio Pike Ste B, Cincinnati, OH 45245-2204 | 2019-09-23 |
| 1669932224 | Andrea Marie Rosado | Family Medicine | 2123 Auburn Ave Ste 340, Cincinnati, OH 45219-2906 | 2019-03-20 |
| 1386109783 | Pamela Dawn Holland | Family Medicine | 626 Arlington Dr, Cincinnati, OH 45244-1310 | 2019-02-10 |
| 1427554682 | Laura Ledvora | Family Medicine | 2139 Auburn Ave Ste 235, Cincinnati, OH 45219-2906 | 2018-04-04 |
| 1609394907 | Maureen Elizabeth Rooney | Family Medicine | 7502 State Rd Ste 3350, Cincinnati, OH 45255-2801 | 2017-09-07 |
| 1396267530 | Midwest Health Group LLC | Family Medicine | 1420 E Mcmillan St Fl 3, Cincinnati, OH 45206-2225 | 2017-07-10 |
| 1508392671 | Jennifer Lynn Bauer | Family Medicine | 1128 Gracewind Ct, Cincinnati, OH 45231-4604 | 2017-05-10 |
| 1073977740 | Michael Putnam | Family Medicine | 2123 Auburn Ave. Tch Family Medicine, Suite 235, Cincinnati, OH 45219 | 2016-04-08 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45249 |
Please comment or provide details below to improve the information on DOUGLAS C 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.