DR. ROBERT ALLEN MOODY II (NPI# 1912252172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912252172 |
| Entity Type | Individual |
| Full Name | DR. ROBERT ALLEN MOODY II |
| Credential | DO |
| Practice Address |
1600 W University Blvd Durant OK 74701-3094 |
| Mailing Address |
712 W Cedar St Durant OK 74701-4242 |
| Practice Telephone | 5809245500 |
| Mailing Telephone | 9188455686 |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
5254 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093813412 | Robert E Moody | Dentist | 538 Main St, Half Moon Bay, CA 94019-1922 | 2006-09-20 |
| 1366464604 | Robert Benjamin Moody IIi | Pharmacist | 380 Hospital Dr Ste 175-a, Macon, GA 31217-8001 | 2006-07-24 |
| 1598767345 | Robert Michael Moody | Dentist | 302 W 3rd St, Eureka, KS 67045-1404 | 2005-08-11 |
| 1679918650 | Robert Moody | Counselor | 52 W Pleasant St, Claremont, NH 03743-3055 | 2013-05-06 |
| 1790900207 | Robert Patrick Moody | Psychologist | 303 Downey Ave, Modesto, CA 95354-1203 | 2007-04-17 |
| 1326054446 | Robert Moody | Physician Assistant | 99 Doctors Dr, Suite 700, Munford, TN 38058 | 2006-07-31 |
| Street Address |
1600 W UNIVERSITY BLVD |
| City | DURANT |
| State | OK |
| Zip Code | 74701-3094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821090572 | David W Dillow | Family Medicine | 1600 W University Blvd, Durant, OK 74701-3094 | 2005-08-12 |
| 1003433582 | Matthew Brice Collier | Family Medicine | 1600 W University Blvd, Durant, OK 74701-3094 | 2020-06-30 |
| 1730706219 | Seth Aaron Stambaugh | Family Medicine | 1600 W University Blvd, Durant, OK 74701-3094 | 2020-06-30 |
| 1548887029 | Dillon Gillespie | Family Medicine | 1600 W University Blvd, Durant, OK 74701-3094 | 2020-06-30 |
| 1457978934 | Bailey Buck | Family Medicine | 1600 W University Blvd, Durant, OK 74701-3094 | 2020-06-30 |
| 1366069841 | Stephanie Patricia Jones | Family Medicine | 1600 W University Blvd, Durant, OK 74701-3094 | 2020-06-30 |
| 1861044851 | Dustin D Eck | Family Medicine | 1600 W University Blvd, Durant, OK 74701-3094 | 2019-07-10 |
| 1083266084 | Lindsey L French | Family Medicine | 1600 W University Blvd, Durant, OK 74701-3094 | 2019-07-10 |
| 1851943856 | Danielle Coffey | Family Medicine | 1600 W University Blvd, Durant, OK 74701-3094 | 2019-07-10 |
| 1104478007 | Shad T Bateman | Family Medicine | 1600 W University Blvd, Durant, OK 74701-3094 | 2019-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738362 | Elevate Therapy, Pllc | Physical Therapist | 523 N Wshington Ave, Durant, OK 74701 | 2020-07-23 |
| 1093334906 | Duncan Kovash | Nurse Practitioner | 1901 Chukka Hina, Durant, OK 74701 | 2020-04-10 |
| 1184193690 | Inventive Therapy Services, LLC | Occupational Therapist | 2620 Maxey Dr, Durant, OK 74701 | 2018-11-14 |
| 1790271831 | Jazmine Gabrielle Benavidez | Specialist/Technologist | 1713 North 1st Avenue, Durant, OK 74701 | 2018-07-02 |
| 1538659586 | Katelen Sue Morgan | Case Manager/Care Coordinator | 1011 Donna Sue Pl, Durant, OK 74701 | 2018-05-15 |
| 1164941035 | Nsight for Life LLC | Community/Behavioral Health | 1313 N 16th, Durant, OK 74701 | 2017-09-12 |
| 1023534666 | Damon Dye | Physical Therapist | 30 W 3rd St, Durant, OK 74701 | 2017-08-15 |
| 1437605250 | Casey Worsham | Nurse Practitioner | 1800 W University, Durant, OK 74701 | 2016-08-31 |
| 1083160857 | Denise Adanho | Case Manager/Care Coordinator | 1218 Stonebrook Circle, Durant, OK 74701 | 2016-08-31 |
| 1962850271 | Justi Thompson | Case Manager/Care Coordinator | 4817 Ciara St, Durant, OK 74701 | 2016-05-26 |
| Find all providers in zip 74701 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932560760 | Robert Darryl Fisher | Family Medicine | 2203 E Wilshire Blvd, Oklahoma City, OK 73111-8604 | 2016-03-07 |
| 1932591419 | Sitesource Medical, LLC | Family Medicine | 324 N Robinson Ave, Oklahoma City, OK 73102-6416 | 2015-02-20 |
| 1699025973 | Great Salt Plains Health Center, Inc. | Family Medicine | 619 Front Street, Medford, OK 73759-1209 | 2012-09-14 |
| 1447543798 | House Call Physicians, Inc | Family Medicine | 3456 Nw 172nd Ter, Edmond, OK 73012-7098 | 2011-05-19 |
| 1639406325 | Leslie Ann Masters | Family Medicine | 8172 S Lewis Ave Ste D, Tulsa, OK 74137-1248 | 2009-11-17 |
| 1487817375 | Brad Alan Liston | Family Medicine | 1908 N 14th St Ste 204, Ponca City, OK 74601-2039 | 2008-07-09 |
| 1962537902 | Gary Erle Johnston | Family Medicine | 53468 Mineral Springs Rd, Hodgen, OK 74939-3064 | 2007-02-22 |
| 1659441228 | Terrance Patrick Mcdermott | Family Medicine | 2536 Sw 29th Street, Mcdermott Clinic, Oklahoma City, OK 73119 | 2006-11-09 |
| 1861436677 | Thomas Ray Crow | Family Medicine | 9170 Us Hwy 70, Waurika, OK 73573 | 2006-06-15 |
| 1699761981 | Larry Dean Sumner | Family Medicine | 204 Woodlawn Ave, Tahlequah, OK 74464-3318 | 2005-09-22 |
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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.