DIXON MCGUIRE MOODY MD NPI 1982688107

NPI Information

NPI: 1982688107
Provider Name: DIXON MCGUIRE MOODY, MD
Classification: Radiology - 2085N0700X
Entity Type: Individual

Specialization: Neuroradiology

Address:
MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157
Phone: (336) 716-2255
Get Directions

Dixon Mcguire Moody, MD is a neuroradiology radiology in Winston Salem, NC. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. Dixon Mcguire Moody, MD NPI is 1982688107. 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:

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157-001
Phone: (336) 716-2255

The enumeration date for this NPI number is 12/1/2005 and was last updated on 5/15/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0204X	Radiology	Vascular & Interventional Radiology	19074	NORTH CAROLINA	No
2	2085N0700X	Radiology	Neuroradiology	19074	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q19074	MEDICAID	SOUTH CAROLINA
2	7230273	MEDICAID	VIRGINIA
3	208970B	MEDICARE PIN	NORTH CAROLINA
4	E14811	MEDICARE UPIN
5	64184	OTHER	NORTH CAROLINA	MEDCOST
6	194324000	MEDICAID	WEST VIRGINIA
7	300130859	MEDICARE PIN
8	4604087	OTHER	NORTH CAROLINA	AETNA
9	10655	OTHER	NORTH CAROLINA	PARTNERS
10	8960105	MEDICAID	NORTH CAROLINA
11	60105	OTHER	NORTH CAROLINA	BCBS

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

NPI Synchronization or Removal

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