MARK CHRISTIAN MOODY (NPI# 1427496736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427496736 |
| Entity Type | Individual |
| Full Name | MARK CHRISTIAN MOODY |
| Credential | MD |
| Practice Address |
1011 Frontage Rd Greenville SC 29615-4240 |
| Mailing Address |
300 E Mcbee Ave Fl 4 Greenville SC 29601-2842 |
| Practice Telephone | 8642424263 |
| Mailing Telephone | 8645228617 |
| Enumeration Date | 2013-06-08 |
| Last Update Date | 2020-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 35822 | SC | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
35822 | SC | Allopathic & Osteopathic Physicians |
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
35822 | SC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 Grove Rd, 2nd Floor Support Tower, Greenville, SC 296055611 | 8644557878 | 8644557082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700280351 | Mark Moody | Anesthesiologist Assistant | 915 Gordon Ave, Thomasville, GA 31792-6614 | 2014-10-10 |
| 1952588592 | Mark James Moody | Internal Medicine | 5900 Coyle Ave, Suite A, Carmichael, CA 95608-0400 | 2008-01-25 |
| 1821173618 | Mark Lawrence Moody | Orthopaedic Surgery | 7 Vanderbilt Park Dr, Asheville, NC 28803-1700 | 2006-10-27 |
| Street Address |
1011 FRONTAGE RD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-4240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992754865 | Seraphin John Millon | Orthopaedic Surgery | 1011 Frontage Rd, Greenville, SC 29615-4240 | 2006-05-09 |
| 1821553439 | Blair Anderson Rosemeyer | Physician Assistant | 1011 Frontage Rd, Greenville, SC 29615-4240 | 2019-02-07 |
| 1184014557 | Kirsten Farr | Specialist/Technologist | 1011 Frontage Rd, Greenville, SC 29615-4240 | 2015-01-23 |
| 1912308909 | Philip Rainwater | Orthopaedic Surgery | 1011 Frontage Rd, Greenville, SC 29615-4240 | 2014-09-09 |
| 1679903058 | Margaret Ann Smith | Physician Assistant | 1011 Frontage Rd, Greenville, SC 29615-4240 | 2013-11-20 |
| 1417225178 | St. Francis Physician Services, Inc | Orthopaedic Surgery | 1011 Frontage Rd, Greenville, SC 29615-4240 | 2011-12-09 |
| 1144547589 | Gregory Knowlton Faucher | Orthopaedic Surgery | 1011 Frontage Rd, Greenville, SC 29615-4240 | 2010-04-26 |
| 1437387701 | Meah S Hamrick | Occupational Therapist | 1011 Frontage Rd, Greenville, SC 29615-4240 | 2009-06-25 |
| 1659581064 | Susan Morris Hall | Occupational Therapist | 1011 Frontage Rd, Greenville, SC 29615-4240 | 2007-05-23 |
| 1649300740 | Ann Douthat Schaumburg | Occupational Therapist | 1011 Frontage Rd, Greenville, SC 29615-4240 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609813906 | The Hand Center Pa | Surgery | 1011 Frontage Rd, Greenville, SC 29615-4240 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780897272 | Hilton Head Island Plastic Surgery, LLC | Surgery | 35 Bill Fries Dr, Island Medical Plaza, Bldg E, Hilton Head Island, SC 29926-2730 | 2007-05-08 |
| 1407075187 | The Hand Center Pa | Surgery | 10630 Clemson Blvd, Suite 100, Seneca, SC 29678-4546 | 2007-04-24 |
| 1316166093 | The Hand Center Pa | Surgery | 100 Healthy Way, Suite 1200, Anderson, SC 29621-2067 | 2007-04-24 |
| 1780751073 | Robert Abel Laughlin | Surgery | 35 Bill Fries Dr, Island Medical Plaza Bldg E, Hilton Head Island, SC 29926-2730 | 2006-11-29 |
| 1922018100 | The Carolina Hand Center | Surgery | 391 Serpentine Dr, Suite 440, Spartanburg, SC 29303-3096 | 2006-08-09 |
| 1962412221 | James A Essman | Surgery | 391 Serpentine Dr, Suite 440, Spartanburg, SC 29303-3081 | 2006-08-09 |
| 1942210216 | Daniel A Falcon | Surgery | 391 Serpentine Dr, Suite 440, Spartanburg, SC 29303-3081 | 2006-08-09 |
| City | GREENVILLE |
| Zip Code | 29615 |
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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.