DR. IRENE JUNE MOODY


Address: 3410 Indian School Rd Ne, Albuquerque, NM 87106-1148
Phone: 5052657817

DR. IRENE JUNE MOODY (NPI# 1043217102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043217102
Entity Type Individual
Full Name DR. IRENE JUNE MOODY
Credential M.D.
Practice Address 3410 Indian School Rd Ne
Albuquerque
NM 87106-1148
Practice Telephone 5052657817
Practice Fax Number 5052661543
Mailing Telephone 5052657817
Mailing Fax Number 5052661543
Enumeration Date 2005-07-05
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 83262 NM Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 30742 05

Office Location

Street Address 3410 INDIAN SCHOOL RD NE
City ALBUQUERQUE
State NM
Zip Code 87106-1148

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568027027 Kinnari Patel Dentist 3410 Indian School Rd Ne, Albuquerque, NM 87106-1148 2019-05-09
1326562992 Judith Eileen Romero Registered Nurse 3410 Indian School Rd Ne, Albuquerque, NM 87106-1148 2017-07-26
1346787165 Taylor Elizabeth Leeper Dentist 3410 Indian School Rd Ne, Albuquerque, NM 87106-1148 2017-01-31
1851848899 Pediatric Associates Specialist 3410 Indian School Rd Ne, Albuquerque, NM 87106-1148 2016-09-07
1275887416 Myrna Estrada Dental Hygienist 3410 Indian School Rd Ne, Albuquerque, NM 87106-1148 2012-11-08
1396098653 Lisa Renee Jennings Dental Hygienist 3410 Indian School Rd Ne, Albuquerque, NM 87106-1148 2012-10-23
1457681082 Mountain Dental, Inc Dentist 3410 Indian School Rd Ne, Albuquerque, NM 87106-1148 2010-01-04
1447490578 Shirley J Murphy Pediatrics 3410 Indian School Rd Ne, Albuquerque, NM 87106-1148 2009-03-02
1275669558 Janet Eleanor Samorodin-mcilwain Pediatrics 3410 Indian School Rd Ne, Albuquerque, NM 87106 2007-02-23
1578640371 Pediatric Associates, Pa Pediatrics 3410 Indian School Rd Ne, Albuquerque, NM 87106 2006-11-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629679808 Jorge Licano Student in an Organized Health Care Education/Training Program Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 2020-11-04
1730780032 Joseph Sanchez Student in an Organized Health Care Education/Training Program (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 2020-11-03
1336746205 Evan Laub Pharmacist 2950 Central Ave. Sw, Albuquerque, NM 87106 2020-10-05
1487203154 Theresa Martinez Technician 5680 Avedon Dr. Se, Albuquerque, NM 87106 2019-09-05
1205300647 Louis Mayer II Specialist/Technologist 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 2019-01-18
1235633355 Terrena Grace Vigil Brady Occupational Therapist 1001 Yale Blvd, Albuquerque, NM 87106 2018-03-22
1205355195 Yaritza Ruiz Specialist/Technologist 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 2017-09-12
1457873382 Cynthia Bluhm Registered Nurse 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 2017-07-12
1295265882 Hallie Chancellor Behavior Technician 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 2017-06-15
1780111757 Jiana Hook Physical Medicine & Rehabilitation 1414 University Blvd. Se, Albuquerque, NM 87106 2017-05-22
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

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1417504168 Beautiful Transitions Consulting Specialist 9404 Casitas Ct Sw, Albuquerque, NM 87121-9482 2019-08-19
1952840191 Odely Ortiz-vega Specialist 10582 Vista Bella Pl Nw, Albuquerque, NM 87114-3886 2017-02-21
1669824652 Jeanette Marie Deanda Specialist 34 Monticello Dr Ne, Albuquerque, NM 87123-9601 2016-07-01
1881054583 Tlc Therapeutics LLC Specialist 2708 San Mateo Blvd Ne, Albuquerque, NM 87110-3160 2016-02-24
1497145940 Elevate: Performance Health Wellness Specialist 3901 Singer Blvd Ne, Suite B, Albuquerque, NM 87109-5862 2015-02-04
1336541184 Thomas Lopez I Specialist 4000 Edith Blvd Ne, Albuquerque, NM 87107-2222 2014-09-24
1558787267 Erica Saldana Specialist 5801 Jones Pl Nw, Albuquerque, NM 87120-2003 2014-03-05
1164851382 Djaa Tlhenai Medicine Lodge Specialist 111 Carlisle Blvd Se, Albuquerque, NM 87106-1427 2013-11-07
1912333139 George Richard Louderbough Specialist 7321 Avenida La Costa Ne, Albuquerque, NM 87109-3900 2013-09-19
1821420738 Advocates of New Mexico, LLC Specialist 230 Adams St Se Ste C, Albuquerque, NM 87108-2805 2013-08-01
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Competitor

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City ALBUQUERQUE
Zip Code 87106

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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