DR. JOE M MOODY SR. (NPI# 1861888356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861888356 |
| Entity Type | Individual |
| Full Name | DR. JOE M MOODY SR. |
| Credential | M.D. |
| Practice Address |
5042 Tangle Ln. Houston TX 77056-2114 |
| Mailing Address |
5042 Tangle Lane Houston TX 77056-2114 |
| Practice Telephone | 7136311884 |
| Practice Fax Number | 7136211886 |
| Mailing Telephone | 7136311884 |
| Mailing Fax Number | 7136211886 |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
C4862 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689686396 | Joe Marshall Moody Jr. | Internal Medicine | 4647 Medical Dr, San Antonio, TX 78229-4403 | 2006-08-12 |
| Street Address |
5042 TANGLE LN. |
| City | HOUSTON |
| State | TX |
| Zip Code | 77056-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366068116 | Elvin Aydin Keles | Counselor | 777 S. Post Oak Lane, One Riverway, Suite 1700, Houston, TX 77056 | 2020-06-17 |
| 1649891169 | Edison Bio LLC | Specialist/Technologist, Other | 2700 Post Oak Blvd, Galleria Office Tower I, Houston, TX 77056 | 2020-05-06 |
| 1144851189 | North Houston First Assist, Pllc | Physician Assistant | 777 S Post Oak Lane, One Riverway Suite 1700, Houston, TX 77056 | 2020-01-29 |
| 1487295945 | Gladys Dadeboe | Registered Nurse | 4718 Hallmark Drive, Houston, TX 77056 | 2019-10-04 |
| 1720541444 | Hazel Camilla Hill | Counselor | 2800 Post Oak Blouvard, Suite 4100, Houston, TX 77056 | 2019-04-09 |
| 1225500150 | Mylabs, LLC | Technician, Pathology | 5100 Westheimer, Suite 200, Houston, TX 77056 | 2018-12-17 |
| 1356847529 | Olumayowa Akinyode | Nurse Practitioner | 5402 Westheimer Court, Houston, TX 77056 | 2018-04-04 |
| 1861997652 | Lauren Eye Group LLC | Optometrist | 5135 W Alabama St Ste 5410, Houston, TX 77056 | 2018-03-26 |
| 1619490828 | James House | Massage Therapist | 3000 Sage Rd, 1161, Houston, TN 77056 | 2017-07-19 |
| 1902327661 | Total Care Centers LLC | Counselor | 5201-a Richmond Ste 338, Houston, TX 77056 | 2017-07-03 |
| Find all providers in zip 77056 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518461961 | Ahmed Elakkad | Radiology | 5704 Edgemoor Dr Apt 90, Houston, TX 77081 | 2018-03-21 |
| 1578065967 | Erika G. L. C. Odisio | Radiology | 1400 Pressler St # 145084, Houston, TX 77030-3722 | 2018-03-02 |
| 1841798527 | Icgh - Imaging Centers of Greater Houston LLC | Radiology | 6300 Richmond Ave Ste 104, Houston, TX 77057-5931 | 2018-01-26 |
| 1528597580 | Mayur Kundan Virarkar | Radiology | 1515 Holcombe Blvd Unit 1459, Houston, TX 77030-4000 | 2017-06-05 |
| 1831627918 | Ali Ahmed Abdelkhalek Baiomy | Radiology | 5704 Edgemoor Dr, Apt 84, Houston, TX 77081 | 2017-06-01 |
| 1881139566 | Radiology Partners of Iowa Inc | Radiology | 7600 W Tidwell Rd, Suite 103, Houston, TX 77040-5714 | 2017-01-04 |
| 1902352701 | Mouin Ct-mri | Radiology | 11375 W Sam Houston Parkway, 150, Houston, TX 77031-2347 | 2016-08-31 |
| 1689063430 | Kai Xu | Radiology | 6431 Fannin St Ste 2.116, Houston, TX 77030-1501 | 2015-01-16 |
| 1063817203 | Oakridge Imaging LLC | Radiology | 3301 S Shepherd Dr, Houston, TX 77098-3320 | 2014-10-30 |
| 1548671456 | Megan Krull Mcneer | Radiology | Medical Plaza 1, 902 Frostwood Drive #184, Houston, TX 77024 | 2014-05-13 |
| Find all providers in HOUSTON | ||||
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| 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.