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PETER C. MOODY M.D. P.L.C. NPI 1033282579


NPI Information

NPI: 1033282579
Provider Name: PETER C. MOODY, M.D., P.L.C.
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
1286 S LINDEN RD
SUITE A
FLINT, MI
ZIP 48532
Phone: (810) 733-3780
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PETER C. MOODY, M.D., P.L.C. is a pulmonary disease internal medicine in Flint, MI. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. PETER C. MOODY, M.D., P.L.C. NPI is 1033282579. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1286 S LINDEN RD
SUITE A
FLINT, MI
ZIP 48532-407
Phone: (810) 733-3780
Fax: (810) 230-1672

The provider's authorized official is Peter Campbell Moody .
The authorized official title is Member and has the following contact phone number (810) 733-3780.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 1/26/2011.


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
1207RP1001XInternal MedicinePulmonary DiseaseYes

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
102510801OTHERMICHIGANBCBS
24697529MEDICAIDMICHIGAN
3A77201MEDICARE UPIN
40N88340MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

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

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