KEITH J MOODY D O P C – NPI #1295917524
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Health Care Provider Taxonomy Code for Internal Medicine

KEITH J MOODY D O P C is a provider located in BAY CITY, MI. NPPES has assigned the NPI number 1295917524 to KEITH J MOODY D O P C on November 28, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEITH J MOODY D O P C below.

NPI Profile for
KEITH J MOODY D O P C

NPI Number
1295917524
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KEITH J MOODY D O P C
Primary location
200 S WENONA ST
SUITE 225
BAY CITY, MI 48706-8820
Phone: (989) 893-9705 Fax: (989) 893-8206
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KEITH MOODY D O
OWNER
Phone: (989) 893-9705
Updated
Identifiers

Identifiers for KEITH J MOODY D O P C

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNA4220040
OTHERBLUE CARE NETWORK50900464
OTHERBLUE CROSS BLUE SHIELD MI1150900464
OTHERCOMMUNITY CHOICE16613
OTHERFEP BLUE CROSS1150900464
OTHERHEALTH PLUS OF MI1150900464
OTHERMCLAREN HEALTH PLAN1006214
OTHERPRIORITY HEALTH28233
MEDICAIDMI4164290
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)		 MI 5101008328
207R00000X
- Internal Medicine		 MI 5101008328

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.