Jennifer L Moody (NPI# 1356777650, PAC ID# 2365677093) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1356777650 |
| PAC ID by PECOS | 2365677093 |
| Professional Enrollment ID | I20131104001630 |
| Full Name | Jennifer L Moody |
| Organization Legal Name | MARTIN MEMORIAL PHYSICIANS CORPORATION |
| Address |
10050 Sw Innovation Way Suite 102 Port St Lucie FL 34987-2117 |
| Phone Number | 7723443811 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7315833555 |
| Number of Group Practice Members | 211 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100044 | MARTIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10050 Sw Innovation Way, Suite 102, Port St Lucie, FL 34987-2117 | 7723443811 | MARTIN MEMORIAL PHYSICIANS CORPORATION |
| Organization Legal Name | MARTIN MEMORIAL PHYSICIANS CORPORATION |
| Physicians | 208 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul E Bower | Urology | Martin Memorial Physicians Corporation | 2398 Se Ocean Blvd, Stuart, FL 34996-3310 |
| Anthony J Liberatore | Endocrinology | Martin Memorial Physicians Corporation | 2150 Se Salerno Rd, Stuart, FL 34997-6572 |
| Konstantin Alekseyenko Sr. | Family Medicine | Martin Memorial Physicians Corporation | 10080 Sw Innovation Way, Suite 201, Port St Lucie, FL 34987-2129 |
| Valerie Rasberry | Family Medicine | Martin Memorial Physicians Corporation | 3066 Sw Martin Down S Blvd, Unit 6 Suite C, Palm City, FL 34990-2683 |
| Erika Madrigal Hoyos | Gastroenterology | Martin Memorial Physicians Corporation | 509 Riverside Dr, Suite 305, Stuart, FL 34994-2579 |
| Corbin T Hodder | Pulmonary Disease | Martin Memorial Physicians Corporation | 2392 E Ocean Blvd, Stuart, FL 34996-3310 |
| Candy Jones | Nurse Practitioner | Martin Memorial Physicians Corporation | 440 Se Osceola St, Stuart, FL 34994-2500 |
| Gaurav R Shah | Nephrology | Martin Memorial Physicians Corporation | 200 Hospital Ave, Stuart, FL 34994-2346 |
| Carlos Vinas Palomino | Internal Medicine | Martin Memorial Physicians Corporation | 11600 Se Federal Hwy, Hobe Sound, FL 33455-5213 |
| Edwin B Flanagan | Gastroenterology | Martin Memorial Physicians Corporation | 1651 Se Tiffany Ave, Port St Lucie, FL 34952-7564 |
| Street Address |
10050 SW INNOVATION WAY SUITE 102 |
| City | PORT ST LUCIE |
| State | FL |
| Zip | 34987-2117 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles D Phillips | Orthopedic Surgery | Martin Memorial Medical Center Inc | 10050 Sw Innovation Way, Suite 102, Port St Lucie, FL 34987-2117 |
| Andres M Reyes | Nephrology | Martin Memorial Physicians Corporation | 10050 Sw Innovation Way, Suite 102, Port St Lucie, FL 34987-2117 |
| Zackary E. Boomsaad | Pain Management | Martin Memorial Medical Center Inc | 10050 Sw Innovation Way, Suite 102, Port St Lucie, FL 34987-2117 |
| Steven M Kappler | Gastroenterology | Martin Memorial Physicians Corporation | 10050 Sw Innovation Way, Suite 102, Port St Lucie, FL 34987-2117 |
| Mona Fakhry | Internal Medicine | Martin Memorial Physicians Corporation | 10050 Sw Innovation Way, Suite 102, Port St Lucie, FL 34987-2117 |
| Allison M Riegelman | Nurse Practitioner | Martin Memorial Medical Center Inc | 10050 Sw Innovation Way, Suite 102, Port St Lucie, FL 34987-2117 |
| Philip Wesley Moyer | General Surgery | Martin Memorial Physicians Corporation | 10050 Sw Innovation Way, Suite 102, Port St Lucie, FL 34987-2117 |
| James K Belville | Ophthalmology | Florida Vision Institute Inc | 10050 Sw Innovation Way, Suite 101, Port St Lucie, FL 34987-2117 |
| Loel S Warsch | Anesthesiology | Interventional Rehabilitation of South Florida, Inc. | 10050 Sw Innovation Way, Suite 104, Port St Lucie, FL 34987-2117 |
| Kadian Simmonds | Nurse Practitioner | Martin Memorial Physicians Corporation | 10050 Sw Innovation Way, Suite 102, Port St Lucie, FL 34987-2117 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Spooner | Physical Therapy | Premier Physical Therapy Sport Medicine Inc | 519 Nw Lake Whitney Place, Suite 101, Port St Lucie, FL 34987 |
| Wilhelm K Martezian | Nurse Practitioner | 10380 Sw Village Ctr Dr, Suite 235, Port Saint Lucie, FL 34987-1931 | |
| Stefan Flink | Chiropractic | 10801 Sw Tradition Sq, Port Saint Lucie, FL 34987-1934 | |
| Pamela Gwyn Flink | Chiropractic | Dr Flink Family Chiropractors Pa | 10801 Sw Tradition Sq, Port Saint Lucie, FL 34987-1934 |
| Claudette Marie Johnston-creary | Nurse Practitioner | 2637 Sw Import Dr, Port St Lucie, FL 34987-2056 | |
| Stacey L Bettes | Certified Registered Nurse Anesthetist (crna) | Treasure Coast Anesthesia Group Pa | 10000 Sw Innovation Way, Port Saint Lucie, FL 34987-2111 |
| Eric Alexander Pfeiffer | Diagnostic Radiology | Diagnostic Imaging Services Inc | 10000 Sw Innovation Way, Port Saint Lucie, FL 34987-2111 |
| Theresa L Chafel | Pathology | Treasure Coast Pathology, Pa | 10000 Sw Innovation Way, Port Saint Lucie, FL 34987-2111 |
| Christopher B Bailey | Diagnostic Radiology | Diagnostic Imaging Services Inc | 10000 Sw Innovation Way, Port Saint Lucie, FL 34987-2111 |
| Frank N Garcia | Diagnostic Radiology | Diagnostic Imaging Services Inc | 10000 Sw Innovation Way, Port Saint Lucie, FL 34987-2111 |
| Find all physicians in zip 34987 | |||
| City | PORT ST LUCIE |
| Zip Code | 34987 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PORT ST LUCIE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer L 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.