Active NPI
Allan J Moede, M.D.
- Orthopaedic Surgery Physician
- McKenzie, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD55243
- Practice address
- 205 Hospital Dr
Suite a
MC Kenzie, TN 38201-1649 - Phone
- (731) 352-7907
- Fax
- (731) 352-4459
- NPI assigned
- Oct 20, 2005
- Last updated
- Jan 11, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD55243 | TN | Primary |
Addresses
Primary practice location
205 Hospital Dr
Suite a
MC Kenzie, TN 38201-1649
Mailing address
205 Hospital Dr
Suite a
MC Kenzie, TN 38201-1649
Phone (731) 352-7907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD55243 | TN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McKenzie Medical Center PC | Orthopaedic Surgery | Current | Accepting new patients |
| McKenzie Medical Center, PC | Past | Accepting new patients | |
| McKenzie Medical Center | Past | Accepting new patients | |
| McKenzie Medical Center | Past | Accepting new patients |
Locations
205 Hospital Dr
Ste A
Mc Kenzie, TN 38201
Phone 7313527907 ext. 429
205C Hospital Dr
Mc Kenzie, TN 38201
Phone (731) 352-0820
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hometown Health Clinic
- Rural Health Clinic/Center
- McKenzie, TN
- NPI 1477516953
Orthopaedic Surgery
-
- Sleep Disorder Diagnostic Clinic/Center
- McKenzie, TN
- NPI 1225267479
-
- Urgent Care Clinic/Center
- McKenzie, TN
- NPI 1841696192
-
dba Hometown Health Clinic
- Rural Health Clinic/Center
- Gleason, TN
- NPI 1225083991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484092800000",
"number": "1871582007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 HOSPITAL DR",
"address_2": "SUITE A",
"city": "MC KENZIE",
"state": "TN",
"postal_code": "382011649",
"telephone_number": "731-352-7907",
"fax_number": "731-352-4459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 HOSPITAL DR",
"address_2": "SUITE A",
"city": "MC KENZIE",
"state": "TN",
"postal_code": "382011649",
"telephone_number": "731-352-7907",
"fax_number": "731-352-4459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOEDE",
"first_name": "ALLAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2017-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": "MD55243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McKenzie, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.