Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. GARY A. MOODY
Active
Individual
DR. GARY A. MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22698
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-11650
MEDICA
MN
01
—
080194898
RAILROAD MEDICARAE
MN
01
—
102582
UCARE MINNESOTA
MN
01
—
30229200
MEDICAID WI
MN
01
—
472S5M0
BLUE CROSS
MN
01
—
66-07826
MEDICA URGENT CARE
MN
05
—
760387800
—
MN
01
—
HP11055
HEALTH PARTNERS
MN
01
—
NA9140186005
PREFERRED ONE
MN
Enumeration date
03/15/2006
Last updated
07/30/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up