MAYA ELIZABETH MOODY


Address: 5701 Delmar Blvd, Saint Louis, MO 63112-2617
Phone: 3143677848

MAYA ELIZABETH MOODY (NPI# 1659682946) 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) 1659682946
Entity Type Individual
Full Name MAYA ELIZABETH MOODY
Credential D.O.
Practice Address 5701 Delmar Blvd
Saint Louis
MO 63112-2617
Practice Telephone 3143677848
Practice Fax Number 3143672985
Mailing Telephone 3143677848
Mailing Fax Number 3143672985
Enumeration Date 2010-07-01
Last Update Date 2014-02-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 20090013978 MO Allopathic & Osteopathic Physicians

Office Location

Street Address 5701 DELMAR BLVD
City SAINT LOUIS
State MO
Zip Code 63112-2617

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053312611 Irma Jean Perkins Nurse Practitioner 5701 Delmar Blvd, Saint Louis, MO 63112 2005-08-04
1952927287 Sasa Dzaferagic Pharmacist 5701 Delmar Blvd, Saint Louis, MO 63112-2617 2020-06-23
1245673003 Wendy Ducasse Social Worker 5701 Delmar Blvd, Saint Louis, MO 63112-2617 2013-04-11
1942541578 Betty Jean Kerr People's Health Center Clinic/Center 5701 Delmar Blvd, Saint Louis, MO 63112-2617 2013-03-06
1356697726 Mykale R Elbe Registered Nurse 5701 Delmar Blvd, Saint Louis, MO 63112-2617 2012-08-03
1245598333 Laura Ann Fleming Bergin Obstetrics & Gynecology 5701 Delmar Blvd, Saint Louis, MO 63112-2617 2012-04-26
1962778589 Rachana Pradhan Social Worker 5701 Delmar Blvd, Saint Louis, MO 63112-2617 2012-03-28
1972802932 Mariea Beth Snell Nurse Practitioner 5701 Delmar Blvd, Saint Louis, MO 63112-2617 2011-03-16
1033430798 Hameem I Kawsar Internal Medicine 5701 Delmar Blvd, Bjk People's Health Centers, Saint Louis, MO 63112-2617 2010-06-17
1114150059 Sarah Virginia Keller Dentist 5701 Delmar Blvd, Saint Louis, MO 63112 2009-08-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851932990 Bobbie J. Harrington Technician 5626 Julian Avenue, St. Louis, MO 63112 2019-09-30
1861901480 Christina Cummings Counselor 5387 Pershing Ave., Apt. A, St. Louis, MO 63112 2017-09-26
1326457177 Clare Marie Salley Speech-Language Pathologist 5673 Waterman Blvd, Unit 31, St Louis, MO 63112 2014-08-06
1386999324 Family Love Adult Health Care Center, LLC Clinic/Center 286 Debaliviere Avenue, St. Louis, MO 63112 2012-07-16
1003133893 William Richard Humphrey II Chiropractor 5615 Pershing, Suite 22, St. Louis, MO 63112 2010-05-03
1558688408 Courtney Lynne Luster Counselor 5647 Delmar Blvd Ste 226, Saint Louis, MO 63112 2010-04-30
1134446602 Donald Trevor Cross Psychologist #7 Beverly Place, St. Louis, MO 63112 2010-04-23
1649507328 Vikram Choudhary Prosthetist 6126 Washington Blvd, # 201, St. Louis, MO 63112 2009-11-17
1992930325 Kelly Brook Hogan Social Worker 5355 Delmar, Saint Louis, MO 63112 2009-05-29
1942449194 Annie Malone Children and Family Service Center Respite Care 5355 Page Avenue, St. Louis, MO 63112 2009-02-11
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538786413 Melissa An Pediatrics 1 Childrens Pl Ste 3s36, Saint Louis, MO 63110-1002 2020-06-26
1538795547 Virtualnicu Pediatrics 10 Warridge Dr, Saint Louis, MO 63124-1166 2020-03-21
1174082887 Kristen Steinmeyer Pediatrics 714 Peace Haven Ct, Saint Louis, MO 63125-5404 2019-03-13
1487149498 Jessica Sims Pediatrics 1 Childrens Pl Ste 3s34, Saint Louis, MO 63110-1002 2018-06-22
1356835342 Jerome Michael Molleston Pediatrics 1 Childrens Pl Cb8116, Saint Louis, MO 63110-1081 2018-06-21
1598259566 Kylie Bushroe Pediatrics 1 Childrens Pl Ste 3n18, Saint Louis, MO 63110-1081 2018-06-21
1710492228 Ideal Pediatric Wellness, LLC Pediatrics 10007 Kennerly Rd Ste C, Saint Louis, MO 63128-2179 2017-12-06
1578083424 Michael Quinn Pediatrics Wusm Peds Infectious Diseases, 1 Childrens Pl Cb 8116, Saint Louis, MO 63110-1002 2017-06-21
1205367612 Anchal Sethi Pediatrics 1234 S Kingshighway Blvd Ste 1200, Saint Louis, MO 63110-2170 2017-03-27
1831541895 Lila Sarah Wahidi Nolan Pediatrics Wusm Peds Newborn Medicine, 1 Childrens Pl Cb 8116, Saint Louis, MO 63110 2016-07-01
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Competitor

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City SAINT LOUIS
Zip Code 63112

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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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