Katherine M Moody (NPI# 1194809400, PAC ID# 0042243644) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1194809400 |
| PAC ID by PECOS | 0042243644 |
| Professional Enrollment ID | I20090608000387 |
| Full Name | Katherine M Moody |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Address |
5200 Fairview Blvd Wyoming MN 55092-8013 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1951213057 |
| Number of Group Practice Members | 1400 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240078 | FAIRVIEW SOUTHDALE HOSPITAL |
| 240050 | FAIRVIEW LAKES HEALTH SERVICES |
| 240207 | FAIRVIEW RIDGES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 14101 Fairview Dr, Suite 140, Burnsville, MN 55337-2515 | 6123655000 | FAIRVIEW HEALTH SERVICES |
| 14101 Fairview Dr, Burnsville, MN 55337-2537 | FAIRVIEW HEALTH SERVICES | |
| 6401 France Ave S, Edina, MN 55435-2104 | 9529245000 | FAIRVIEW HEALTH SERVICES |
| 6401 France S Ave, Edina, MN 55435-2104 | 9529245140 | FAIRVIEW HEALTH SERVICES |
| 6405 France Ave S, Edina, MN 55435-2163 | 9529296994 | FAIRVIEW HEALTH SERVICES |
| 5200 Fairview Blvd, Wyoming, MN 55092-8013 | FAIRVIEW HEALTH SERVICES | |
| 5200 Fairview Blvd, Suite 1300, Wyoming, MN 55092-8013 | 6519827980 | FAIRVIEW HEALTH SERVICES |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Physicians | 1502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly L Nguyen | Nurse Practitioner | Fairview Health Services | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 |
| Nicholas Lee Rudolph | Physical Therapy | Fairview Health Services | 14712 Victor Hugo Blvd N, Hugo, MN 55038-6419 |
| Andrew Caraganis | Pulmonary Disease | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Molly Levy | Nurse Practitioner | Fairview Health Services | 911 Northland Dr, Princeton, MN 55371-2172 |
| Justin C Boeke | Obstetrics/gynecology | Fairview Health Services | 25945 Gateway Dr, Zimmerman, MN 55398-5300 |
| Steven Alex Rizzi | Optometry | Fairview Health Services | 6341 University Ave Ne, Fridley, MN 55432-4946 |
| David Allen Supik | Family Medicine | Fairview Health Services | 14500 N 99th Ave, 1a038, Maple Grove, MN 55369-4730 |
| Hilary Wilde | Registered Dietitian Or Nutrition Professional | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Nhat Anh Ngo | General Surgery | Fairview Health Services | 919 Northland Dr, Princeton, MN 55371-2172 |
| Sarah Nicole Olson Venning | Clinical Social Worker | Fairview Health Services | 14500 99th Ave N, Suite 210, Maple Grove, MN 55369-4739 |
| Street Address |
5200 FAIRVIEW BLVD |
| City | WYOMING |
| State | MN |
| Zip | 55092-8013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Caraganis | Pulmonary Disease | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Julie L Becker | Obstetrics/gynecology | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| John B Buren | Podiatry | Fairview Health Services | 5200 Fairview Blvd, Suite 1300, Wyoming, MN 55092-8013 |
| Oluwakemi T Olowoyo | Family Medicine | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| David C Drage | Emergency Medicine | Fairview Health Services | 5200 Fairview Blvd, Suite 1300, Wyoming, MN 55092-8013 |
| John T Northwood | Family Medicine | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| David J Tosteson | Family Medicine | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| David D Laxson | Cardiovascular Disease (cardiology) | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Molly C Vaishnav | Nurse Practitioner | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Sheila R Reash | Certified Registered Nurse Anesthetist (crna) | North Metro Anesthesia Services P.a. | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Patrick Eikens | Family Medicine | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Gregory A Helmer | Interventional Cardiology | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Deborah K Strand | Family Medicine | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Henri Roukoz | Cardiovascular Disease (cardiology) | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Gloria J Dullinger-brown | Certified Registered Nurse Anesthetist (crna) | North Metro Anesthesia Services P.a. | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Michael D Eichler | Ophthalmology | Tec LLC | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Heidi L Ruzek | Certified Registered Nurse Anesthetist (crna) | North Metro Anesthesia Services P.a. | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Antonette M Trapp | Nurse Practitioner | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Kent N Yoshida | Certified Registered Nurse Anesthetist (crna) | North Metro Anesthesia Services P.a. | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Li Ge | Medical Oncology | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Find all physicians in zip 55092 | |||
| City | WYOMING |
| Zip Code | 55092 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WYOMING + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Katherine M Moody.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.