DR. WANDA RENE MOODY (NPI# 1912073172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912073172 |
| Entity Type | Individual |
| Full Name | DR. WANDA RENE MOODY |
| Credential | MD |
| Practice Address |
9800 Westpoint Drive Suite 100 Indianapolis IN 46256 |
| Mailing Address |
30 W Monroe St Ste 1200 Chicago IL 60603-2420 |
| Practice Telephone | 3175855050 |
| Practice Fax Number | 3175855040 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 01046742A | IN | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
01046742A | IN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5926 Crawfordsville Rd Unit B, Indianapolis, IN 462243722 | 3176532730 | 3173211935 |
| Street Address |
9800 WESTPOINT DRIVE SUITE 100 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245306430 | Sally Lee Roscetti | Occupational Therapist | 9800 Westpoint Drive, Suite 100, Indianapolis, IN 46256 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790316859 | Jacob R Weeks | Behavior Technician | 9769 Crosspointed Blvd, Fishers, IN 46256 | 2020-01-28 |
| 1780236620 | Amare Hospice & Palliative Care | Family Medicine | 10475 Crosspoint Boulevard, Suite 250, Indianapolis, IN 46256 | 2019-07-11 |
| 1588226864 | Accutreat LLC | Clinical Medical Laboratory | 9661 Crosspoint Blvd, Indianapolis, IN 46256 | 2019-07-08 |
| 1447732557 | Kathleen O'hara | Marriage & Family Therapist | 8202 Clearvista Pkwy Unit 7, Indianapolis, IN 46256 | 2018-09-05 |
| 1205313608 | Healing Bridges Counseling, LLC | Marriage & Family Therapist | 8465 Keystone Crossing, Suite 266, Indianapolis, IN 46256 | 2018-07-27 |
| 1477062123 | Rosalee Ann Miller | Social Worker | 8202 Clearvista Parkway, Suite 6a, Indianapolis, IN 46256 | 2017-09-26 |
| 1760900039 | Amye Litherland | Registered Nurse | 7525 E. 82nd St Ste A, Indianapolis, IN 46256 | 2017-09-06 |
| 1275074239 | Jason Dempsey | Hearing Instrument Specialist | 8202 Clearvista Pkwy 3a, Indianapolis, IN 46256 | 2017-03-10 |
| 1578922761 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 7155 Shadeland Station Way, Suite 130, Indianapolis, IN 46256 | 2016-02-16 |
| 1477925071 | Samantha Kitcoff | Physician Assistant | 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 | 2015-10-22 |
| Find all providers in zip 46256 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386280923 | Spencer Wellness Centre LLC | Internal Medicine | 7202 E 71st St, Indianapolis, IN 46256-1904 | 2019-11-19 |
| 1982245593 | Melvin Jay Prince | Internal Medicine | Gennesaret Free Clinic 615 N Alabama St, Suite 136, Indianapolis, IN 46204 | 2019-10-04 |
| 1699321307 | Medical Consultants of Central Indiana LLC | Internal Medicine | 5252 E 82nd St Ste 300, Indianapolis, IN 46250-5704 | 2019-08-18 |
| 1881167997 | Jara Lynn Southerland | Internal Medicine | 10122 E 10th St Ste 220, Indianapolis, IN 46229-2664 | 2019-01-10 |
| 1306330980 | Brian Paul Wynia | Internal Medicine | 5122 Millwright Ct, Indianapolis, IN 46254-4786 | 2018-06-18 |
| 1053848457 | Hasan Rana | Internal Medicine | 8081 Township Line Rd Ste 202, Indianapolis, IN 46260-2189 | 2017-05-16 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1225581168 | Stepping Stone Institute, LLC | Internal Medicine | 5785 N Delaware St, Indianapolis, IN 46220-2527 | 2016-07-27 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1275985632 | Nour Hamade | Internal Medicine | 702 Rotary Circle, Suite 225, Indianapolis, IN 46202 | 2016-07-11 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46256 |
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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.