MICHAEL ANTHONY MOODY (NPI# 1437180783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437180783 |
| Entity Type | Individual |
| Full Name | MICHAEL ANTHONY MOODY |
| Credential | MD |
| Practice Address |
4101 N Roxboro St Durham NC 27704-2121 |
| Practice Telephone | 9196848111 |
| Mailing Telephone | 9196848111 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760739825 | Michael S Moody | Dentist | 6200 N Durango Dr Ste 100, Las Vegas, NV 89149 | 2012-08-08 |
| 1952466583 | Michael Shannon Moody | Family Medicine | 8464 Adair Sreet, Douglasville, GA 30134-1877 | 2006-12-26 |
| 1033204094 | Michael Derrick Moody | Oral & Maxillofacial Surgery | 9990 W 26th Ave, Suite 100, Lakewood, CO 80215-1581 | 2006-10-04 |
| 1649652538 | Michael Moody | Pharmacist | 2301 Holmes St, Kansas City, MO 64108-2640 | 2015-06-26 |
| 1871890368 | Michael D Moody | Nurse Anesthetist, Certified Registered | 1444 Peterman Dr, Alexandria, LA 71301-3432 | 2011-02-17 |
| 1063489821 | Michael N Moody | General Practice | 507 N Main St, Salem, AR 72576-9449 | 2006-03-01 |
| Street Address |
4101 N ROXBORO ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27704-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700884749 | Mariam Susan Latuga | Pediatrics | 4101 N Roxboro St, Durham, NC 27704-2121 | 2005-07-13 |
| 1265559660 | Susan E. Totten | Dietitian, Registered | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-03-23 |
| 1588789929 | Perri Anne Morgan | Physician Assistant | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-03-21 |
| 1629106687 | Melissa Merrill Burkett | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-03-01 |
| 1669516720 | Elisabeth A Smith | Psychiatry & Neurology | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-02-20 |
| 1932243995 | Kelly Ann Asher | Physician Assistant | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-02-16 |
| 1386783454 | Maria Baird Plentl | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27710-0001 | 2007-02-06 |
| 1588717037 | Debra Kohlman-trigoboff | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-01-19 |
| 1700937760 | Melanie Hicks Meadows | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-01-16 |
| 1659422608 | Jennifer Annette Tenhover | Nurse Practitioner | 4101 N Roxboro St, Durham, NC 27704-2121 | 2007-01-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
| 1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
| 1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
| 1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
| 1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
| 1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
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| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659790954 | Bradford Becken IIi | Pediatrics | 2301 Erwin Rd, Durham, NC 27710-4699 | 2014-04-15 |
| 1285891929 | David Andrew Wilfret | Pediatrics | Duke University Medical Ctr, Pediatric Bone Marrow Transplant, Durham, NC 27710-0001 | 2008-05-20 |
| 1528233665 | Michael Cohen-wolkowiez | Pediatrics | 2100 Erwin Rd, Durham, NC 27705-3941 | 2008-04-29 |
| 1356531487 | Sallie R Permar | Pediatrics | 2100 Erwin Rd, Durham, NC 27705-3941 | 2007-07-25 |
| 1962565747 | Ross Mckinney | Pediatrics | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164867842 | Peyton Jessie Thompson | Pediatrics | Pediatirc Education Office Clb # 7593, Department of Pediatrics, Chapel Hill, NC 27599-0001 | 2013-05-08 |
| 1700887791 | William A Dalzell | Pediatrics | 2 Doctors Park, Ecu Physicians Pediatric Specialty Care Clinic, Greenville, NC 27834-2801 | 2005-08-02 |
| 1285045963 | Keerti Dantuluri | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 | 2014-05-15 |
| 1942410394 | Lee Morris | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 | 2007-05-23 |
| 1710102918 | Kacy Alyne Ramirez | Pediatrics | Medical Center Blvd, Department of Pediatrics, Winston Salem, NC 27157-0001 | 2007-04-16 |
| 1902987829 | David Weber | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-10-18 |
| 1942381843 | Leonard Stein | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-10-18 |
| 1508956236 | Frederick Henderson | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-10-13 |
| 1396833422 | Albert Collier | Pediatrics | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-10-11 |
| 1407940596 | Niraj Patel | Pediatrics | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2006-10-03 |
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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.