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MR. PETER CAMPBELL MOODY MD NPI 1346356102


NPI Information

NPI: 1346356102
Provider Name: MR. PETER CAMPBELL MOODY, MD
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Address:
1286 S LINDEN RD
FLINT, MI
ZIP 48532
Phone: (810) 733-3780
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MR. Peter Campbell Moody, MD is an internal medicine in Flint, MI. The provider is 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. MR. Peter Campbell Moody, MD NPI is 1346356102. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1286 S LINDEN RD
FLINT, MI
ZIP 48532-457
Phone: (810) 733-3780
Fax: (810) 230-1672

The enumeration date for this NPI number is 8/22/2006 and was last updated on 1/27/2011.


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 Disease4301040461MICHIGANNo
2207R00000XInternal Medicine4301040461MICHIGANYes

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
1A77201MEDICARE UPIN
202510801OTHERMICHIGANBCBS
3ON88340MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
44697529MEDICAIDMICHIGAN

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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