Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 7582 | AL |
N | 208800000X | Urologist | 00007582 | AL |
NPI | 1265405039 |
---|---|
Provider Name | Dr. Thomas E Moody |
First Address | Homewood, AL 35209-5603 |
Second Address | Homewood, AL 35209-5603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2006 |
Last Update Date | 03/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000025362 | MEDICARE PTAN (01) | AL |
000037357 | MEDICARE PTAN (01) | AL |
009940577 | (05) | AL |
0366100001 | CIGNA GOVERNMENT SERVICES PTAN (01) | AL |
0366100001 | MC NSC (01) | AL |
1910032 | UNITED HEALTHCARE (01) | AL |
1910076 | UNITED HEALTHCARE (01) | AL |
2652937001 | CIGNA (01) | AL |
4288415 | AETNA (01) | AL |
C76475 | (02) | |
C76475 | HEALTH SPRINGS (01) | AL |
C76475 | VIVA (01) | AL |