DR. LAURA MARIA MOODY (NPI# 1609907294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609907294 |
| Entity Type | Individual |
| Full Name | DR. LAURA MARIA MOODY |
| Credential | M.D. |
| Practice Address |
19401 Hubbard Dr Dearborn MI 48126-2641 |
| Practice Telephone | 3139828261 |
| Mailing Telephone | 3139828261 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
4301052545 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548584931 | Laura Jean Moody | Pharmacist | 800 Rt. 82 Suite A Bldg. 5, Tuminaro Pharmacy, Hopewell Jct, NY 12533 | 2010-03-15 |
| 1619369964 | Laura Catherine Moody | Physician Assistant | 275 Sandwich St, Plymouth, MA 02360-2183 | 2015-02-24 |
| 1588949986 | Laura Moody | Case Manager/Care Coordinator | 53 Kendall St, Franklin, NH 03235-1413 | 2011-10-17 |
| 1265433890 | Laura Osborn Moody | Pathology | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 | 2005-08-04 |
| Street Address |
19401 HUBBARD DR |
| City | DEARBORN |
| State | MI |
| Zip Code | 48126-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245205525 | Henry Ford Health System | Durable Medical Equipment & Medical Supplies | 19401 Hubbard Dr, Suite 100, Dearborn, MI 48126-2641 | 2006-02-21 |
| 1881208783 | Elizabeth Anne Labodie | Nurse Practitioner | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2020-09-08 |
| 1396378931 | Camiron Alicia Andrews | Massage Therapist | 19401 Hubbard Dr, Dearborn, MI 48126-2699 | 2020-02-21 |
| 1851944573 | Andrew Sedra | Pharmacist | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2019-07-22 |
| 1780244509 | Randa Abu Sayf | Pharmacist | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2019-06-14 |
| 1134788110 | Kathryn Ann Rankin | Physician Assistant | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2019-06-12 |
| 1366907982 | Fadi Fardous | Pharmacist | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2019-02-07 |
| 1952885220 | Miranda H Rippin | Pharmacist | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2018-09-21 |
| 1366943417 | Carrie Marie Foggia | Occupational Therapist | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2018-02-23 |
| 1265958656 | Scott Backman | Pharmacist | 19401 Hubbard Dr, Dearborn, MI 48126-2641 | 2017-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323303 | Aq Dental Group Pllc | Clinic/Center | 10413 Ford Road, Units M & N, Dearborn, MI 48126 | 2020-10-12 |
| 1275148165 | Anasthesia Pain Service PC | Clinic/Center | 15350 Michigan Ave, Dearborn, MI 48126 | 2020-09-09 |
| 1417501958 | Ximena Noemi Ortega | Behavior Technician | 6241 Miller Rd, Dearborn, MI 48126 | 2019-08-01 |
| 1912478827 | Abar Alghazali | Behavior Technician | 4641 Lois, Dearborn, MI 48126 | 2018-12-17 |
| 1861972457 | Laboratory Specialists of Michigan, LLC | Clinical Medical Laboratory | 13530 Michigan Ave Ste 240, Dearborn, MI 48126 | 2018-08-14 |
| 1528544806 | Farah Osman | Pharmacist | 14715 Ford Rd, Dearborn, MI 48126 | 2018-07-19 |
| 1255821328 | Loyal Pharmacy LLC | Pharmacy | 7118 Greenfield Rd St(b), Dearborn, MI 48126 | 2018-05-15 |
| 1952803900 | Neetika Kesar | Physical Therapist | 15051, Ford Road, Dearborn, MI 48126 | 2018-03-06 |
| 1396247607 | David Jerome Kurcz | Physical Therapy Assistant | 15051 Ford Road, Henry Ford Village, Dearborn, MI 48126 | 2018-03-02 |
| 1043732506 | Shadiya Ahmed | Dentist | 4700 Schaefer Rd Ste 190, Dearborn, MI 48126 | 2017-07-16 |
| Find all providers in zip 48126 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467512871 | Maria D. Dorsch | Pediatrics | Henry Ford Health System, 19401 Hubbard Drive, Dearborn, MI 48126 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861913030 | Ashima Goyal | Pediatrics | 3535 W 13 Mile, South Clinic, Royal Oak, MI 48073 | 2017-06-28 |
| 1417985615 | Stephen Robert Knazik | Pediatrics | 3901 Beaubien Emergency Dept - Main Building, Childrens Hospital of Mi, Detroit, MI 48201 | 2006-06-28 |
| 1598296022 | Elizabeth Marie Budnik | Pediatrics | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2017-03-26 |
| 1558817205 | Zina Alhaddad | Pediatrics | 100 Michigan St Ne # Mc13, Grand Rapids, MI 49503-2560 | 2016-08-31 |
| 1316342082 | Dhritiman Gurkha | Pediatrics | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2014-10-23 |
| 1790103737 | Terry L Barrett | Pediatrics | 1500 E Sherman Blvd, Muskegon, MI 49444-1849 | 2014-04-06 |
| 1457774788 | Yagnaram Ravichandran | Pediatrics | 3901 Beaubien St, Detroit, MI 48201-2119 | 2014-01-22 |
| 1316116486 | Nisrine El Chami | Pediatrics | 3901 Beaubien St, Division of Pediatric Emergency Medicine, Detroit, MI 48201-2119 | 2008-02-22 |
| 1326238924 | Katherine Anne Hebert | Pediatrics | 3901 Beaubien St, Detroit, MI 48201-2119 | 2007-07-30 |
| 1891904462 | Kelly Anne Levasseur | Pediatrics | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2007-05-21 |
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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.