Keith J Moody (NPI# 1356451942, PAC ID# 3476638479) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1356451942 |
| PAC ID by PECOS | 3476638479 |
| Professional Enrollment ID | I20080317000013 |
| Full Name | Keith J Moody |
| Organization Legal Name | EAST JORDAN FAMILY HEALTH CENTER |
| Address |
4955s M 88 Hwy Bellaire MI 49615-9082 |
| Phone Number | 2315338649 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8325932510 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 231301 | KALKASKA MEMORIAL HEALTH CENTER |
| 231322 | CHARLEVOIX AREA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4955s M 88 Hwy, Bellaire, MI 49615-9082 | 2315338649 | EAST JORDAN FAMILY HEALTH CENTER |
| 601 Bridge St, East Jordan, MI 49727-9383 | 2315362206204 | EAST JORDAN FAMILY HEALTH CENTER |
| Organization Legal Name | EAST JORDAN FAMILY HEALTH CENTER |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teri A Lamia | Clinical Social Worker | East Jordan Family Health Center | 601 Bridge St, East Jordan, MI 49727-9383 |
| Laurence Yung | Family Medicine | East Jordan Family Health Center | 601 Bridge St, East Jordan, MI 49727-9383 |
| April M North | Family Medicine | East Jordan Family Health Center | 601 Bridge St, East Jordan, MI 49727-9383 |
| Cynthia Ann Pepin | Clinical Social Worker | East Jordan Family Health Center | 601 Bridge St, East Jordan, MI 49727-9383 |
| Gloria M Klaassen Witt | Family Medicine | East Jordan Family Health Center | 601 Bridge St, East Jordan, MI 49727-9383 |
| Terrell K Hebert | Internal Medicine | East Jordan Family Health Center | 601 Bridge St, East Jordan, MI 49727-9383 |
| William R Webb | Family Practice | East Jordan Family Health Center | 601 Bridge St, East Jordan, MI 49727-9383 |
| Jeanette E Dolmetsch | Physician Assistant | East Jordan Family Health Center | 601 Bridge St, East Jordan, MI 49727-9383 |
| Mitchell C Carey | Family Practice | East Jordan Family Health Center | 601 Bridge St, East Jordan, MI 49727-9383 |
| Street Address |
4955S M 88 HWY |
| City | BELLAIRE |
| State | MI |
| Zip | 49615-9082 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter H Viall | Family Medicine | Sound Inpatient Physicians-michigan Pllc | 4543 S M 88 Hwy, Meadow Brook Medical Care Facility, Bellaire, MI 49615-9109 |
| Dale D Owen | Psychiatry | North Country Community Mental Health | 203 E Cayuga St, Bellaire, MI 49615-9180 |
| Johanna Marie Mauk | Optometry | Gaylord Eye Care Center Inc | 211 N Bridge St, Bellaire, MI 49615-9589 |
| Adam W Schwarz | Chiropractic | Inspire Health Chiropractic PC | 219 N Bridge St, Bellaire, MI 49615-9589 |
| Kathryn S Hoyt | Chiropractic | Inspire Health Chiropractic PC | 219 N Bridge St, Bellaire, MI 49615-9589 |
| City | BELLAIRE |
| Zip Code | 49615 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BELLAIRE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Keith J Moody.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.