MOODY DIAGNOSTICS, INC. (NPI# 1427101955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427101955 |
| Entity Type | Organization |
| Organization Name | MOODY DIAGNOSTICS, INC. |
| Practice Address |
104 Trinity Place Palestine TX 75801 |
| Mailing Address |
Po Box 1838 Palestine TX 75802-1838 |
| Practice Telephone | 9037235345 |
| Practice Fax Number | 9037235343 |
| Mailing Telephone | 9037235345 |
| Mailing Fax Number | 9037235343 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2010-07-26 |
| Authorized Official Name | MR. JEFFREY RYAN MOODY (PRESIDENT) |
| Authorized Official Telephone | 9037235345 |
| Authorized Official Credential | RDMS, RDCS, RVS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0013DC | 01 |
| TX | 146693001 | 05 |
| Street Address |
104 TRINITY PLACE |
| City | PALESTINE |
| State | TX |
| Zip Code | 75801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095113 | Savannah Lee Brumley | Speech-Language Pathologist | 550 Anderson County Road 160, Palestine, TX 75801 | 2020-05-19 |
| 1154964997 | Holly Studdard | Massage Therapist | 479 Acr 3971, Palestine, TX 75801 | 2019-10-24 |
| 1174096093 | Lisa Ann Tuley | Social Worker | 2001 Acr 156 #9, Palestine, TX 75801 | 2019-01-03 |
| 1194253955 | Scion Management Group Inc. | Durable Medical Equipment & Medical Supplies | 2256 S Sycamore St Ste 1, Palestine, TX 75801 | 2017-05-24 |
| 1225565013 | Blessed Beginnings Birth Center | Midwife | 3950 S. Hwy 19, Palestine, TX 75801 | 2017-05-11 |
| 1487060711 | Prakash Gadhiya | Dentist | 419 Old Elkhart Rd., Palestine, TX 75801 | 2014-07-08 |
| 1821428640 | Deonna Michelle Bynum | Nurse Practitioner | 126 Medical Drive, Suite B, Palestine, TX 75801 | 2013-11-14 |
| 1811249253 | Michael G. Key D.c. PC | Chiropractor | 2803 W. Oak Street, Palestine, TX 75801 | 2012-10-10 |
| 1740447747 | Andre Thomas | Orthopaedic Surgery | 4002 Loop 256, Suite G, Palestine, TX 75801 | 2008-05-19 |
| 1609055631 | Kathie S Carrier&medical Transport Dba | Non-emergency Medical Transport (VAN) | 1965 Anderson County Road 2101, Palestine, TX 75801 | 2007-10-26 |
| Find all providers in zip 75801 | ||||
| Taxonomy Code | 2471S1302X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952924730 | Michael Testa Jr. | Radiologic Technologist | 3801 N Lamar Blvd # 350, Austin, TX 78756-4080 | 2020-05-27 |
| 1174143713 | Casey Lunt | Radiologic Technologist | 4621 Dusk Meadow Dr, Carrollton, TX 75010-2069 | 2020-04-23 |
| 1083242093 | Bridget Andersen | Radiologic Technologist | 4618 Avenue R 1/2, Galveston, TX 77551-5327 | 2020-03-27 |
| 1972141901 | Reynaldo Reyes | Radiologic Technologist | 9801 Royal Ln Apt 307, Dallas, TX 75231-1825 | 2019-12-20 |
| 1588222772 | Tiessa Lurae Self | Radiologic Technologist | 927 Strawberry Rd, Pasadena, TX 77506-4821 | 2019-06-03 |
| 1790224210 | Makeba Waller | Radiologic Technologist | 1719 Almond Dr, Mansfield, TX 76063-2916 | 2017-02-16 |
| 1275922445 | Brandon Holbert | Radiologic Technologist | 310 San Mateo Ct, Irving, TX 75062-4509 | 2015-01-12 |
| 1346657921 | Kellie A Arce | Radiologic Technologist | 2056 Sundance Pkwy Apt 2320, New Braunfels, TX 78130-2790 | 2014-07-16 |
| 1205242674 | Shiva Ghazizadeh | Radiologic Technologist | 1304 W Branch Hollow Dr, Carrollton, TX 75007-1144 | 2014-07-07 |
| 1336562461 | Rajesh Mehta | Radiologic Technologist | 3527 Highway 6, Suite 270, Sugar Land, TX 77478-4519 | 2014-01-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MOODY DIAGNOSTICS, INC..
| 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.