Peter C. Moody, M.D., P.L.C.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

PETER C. MOODY, M.D., P.L.C.

Practice address

1286 S Linden Rd
Suite a
Flint, MI 48532-3407

Phone

(810) 733-3780

Fax

(810) 230-1672

NPI assigned

Nov 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Peter Campbell Moody, M.D.

Title

Member

Phone

(810) 733-3780

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1033282579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 S LINDEN RD",
            "address_2": "SUITE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323407",
            "telephone_number": "810-733-3780",
            "fax_number": "810-230-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 S LINDEN RD",
            "address_2": "SUITE A",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323407",
            "telephone_number": "810-733-3780",
            "fax_number": "810-230-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER C. MOODY, M.D., P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "CAMPBELL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "810-733-3780",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4697529",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02510801",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Korinne Elise Perry, PA-C
• Lee Charles Perry, M.D.
• Ockelee Perry
• Aubrey Persson
• Evan Peskin, MD MBA
• Haylee L Peterman, FNP-BC
• Mary L Peterman, LMSW
• Denise Ann Peters
• Lois O Peters, MD
• Malayia Aliza Peters

• Pulmonary Disease Physician in Flint, MI
• Providers in Flint, MI by specialty
• Pulmonary Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.