Individual
MR. THOMAS U. MOODY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
21017 STATE ROUTE 12F, WATERTOWN, NY 13601-1078
(315) 786-3436
Mailing address
26775 ANABEL AVE, EVANS MILLS, NY 13637-3212
(315) 629-1443
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
001884
CT
363AM0700X
Medical Physician Assistant
Primary
OO9271
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4151147
MVP HEALTHCARE PIN #
NY
Enumeration date
10/19/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us