Active NPI
Janice a. Moody, MD, PA
- Otolaryngology/Facial Plastic Surgery Physician
- Key West, FL
National Provider Identifier
1346595253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- ME77163
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 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 DirectoryLocations
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.