Organization Active NPI

Janice a. Moody, MD, PA

  • Otolaryngology/Facial Plastic Surgery Physician
  • Key West, FL
National Provider Identifier
1346595253
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
ME77163 Issued in FL
Legal business name
JANICE A. MOODY, MD, PA
Practice address
1111 12TH St
Suite112
Key West, FL 33040-4088
Phone
(305) 292-2625
Fax
(305) 292-2632
NPI assigned
Jul 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Dr. Janice A. Moody, M.D.
Title
President
Phone
(305) 509-3082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0905X ME77163 FL Primary

Addresses

Primary practice location

1111 12TH St
Suite112
Key West, FL 33040-4088

Mailing address

PO Box 2540
Key West, FL 33045-2540
Phone (305) 292-2625

National Provider Directory

National Provider Directory

Locations

1111 12th St
Ste 112
Key West, FL 33040
Phone (305) 292-2625

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1346595253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2540",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330452540",
            "telephone_number": "305-292-2625",
            "fax_number": "305-292-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 12TH ST",
            "address_2": "SUITE112",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404088",
            "telephone_number": "305-292-2625",
            "fax_number": "305-292-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANICE A. MOODY, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-509-3082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "FL",
            "license": "ME77163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.