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DR. STEPHANIE ANN MOODY ANTONIO MD NPI 1366418956


NPI Information

NPI: 1366418956
Provider Name: DR. STEPHANIE ANN MOODY ANTONIO, MD
Classification: Otolaryngology - 207YX0901X
Entity Type: Individual

Specialization: Otology & Neurotology

PECOS Registration: Yes

Address:
600 GRESHAM DR
SUITE 1100
NORFOLK, VA
ZIP 23507
Phone: (757) 388-6200
Get Directions

DR. Stephanie Ann Moody Antonio, MD is an otology and neurotology otolaryngology in Norfolk, VA with 29 years of experience. The provider is an otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. DR. Stephanie Ann Moody Antonio, MD NPI is 1366418956. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1995

The provider's business location address is:

600 GRESHAM DR
SUITE 1100
NORFOLK, VA
ZIP 23507-904
Phone: (757) 388-6200
Fax: (757) 388-6201

The NPI 1366418956 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of impact ear wax, one ear (HCPCS:69210)

The enumeration date for this NPI number is 2/24/2006 and was last updated on 1/26/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngology0101237385VIRGINIANo
2207YX0901XOtolaryngologyOtology & Neurotology0101237385VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
191377OTHERVIRGINIASENTARA OPTIMA
2PAROTHERVIRGINIAAETNA
3010170095MEDICAIDVIRGINIA
4010118387MEDICAIDVIRGINIA
5PAROTHERVIRGINIACIGNA
6006395E75MEDICARE PINVIRGINIA
7PAROTHERVIRGINIAUSA MANAGED CARE
8174750OTHERVIRGINIAANTHEM
9PAROTHERVIRGINIAVA PREMIER HEALTH
10P00191777MEDICARE PINVIRGINIA
11172403OTHERVIRGINIAANTHEM
12PAROTHERVIRGINIACORVEL/CORCARE
13PAROTHERVIRGINIAMULTIPLAN
14067RGOTHERNORTH CAROLINABC/BS
15-004OTHERVIRGINIATRICARE/CHAMPUS
162129791OTHERVIRGINIAUHC/MAMSI
17PAROTHERVIRGINIAFIRST HEALTH COMMERCIAL
18H88391MEDICARE UPINVIRGINIA
1989067RGMEDICAIDNORTH CAROLINA
20PAROTHERVIRGINIAVA HEALTH NETWORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.