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TIMOTHY MOODY M.D.
NPI 1396773222
Preventive Medicine - Public Health & General Preventive Medicine in Pullman, WA

Active since June 29, 2006
825 SE BISHOP BLVD STE 200, PULLMAN, WA 99163(509) 332-2517(509) 334-9247 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy Moody M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY MOODY M.D. (NPI 1396773222) is an individual public health & general preventive medicine provider in Pullman, Washington, licensed in Washington (MD00025084) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1396773222
Entity TypeIndividualMale
Primary Taxonomy2083P0901X
Provider Legal NameTIMOTHY MOODYCredential: M.D.
Location Address825 SE BISHOP BLVD STE 200Pullman, WA 99163-5537
Mailing Address825 Se Bishop Blvd Ste 200Pullman, WA 99163-5537 · (509) 332-2517 · Fax (509) 334-9247
Phone(509) 332-2517
Fax(509) 334-9247
Sole ProprietorNo
Enumeration DateJune 29, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1396773222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
License✔ Licensed in WA · MD00025084
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
825 SE BISHOP BLVD STE 200, Pullman, WA 99163
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Other Identifiers 4

Medicare ID-Type UnspecifiedAB00965WA · Medicare Of Wa
Medicare ID-Type Unspecified1141546ID · Medicare Of Idaho
Medicare UPINB55203
Medicaid8131435WA

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. TODD B BLEDSOE PA
Physician Assistant (Medical)
825 SE BISHOP BLVD STE 200
PULLMAN, WA 99163
Whitman County (509) 332-2517
MORGAN ELIZABETH BURKE FNP-C
Nurse Practitioner (Family)
825 SE BISHOP BLVD STE 200
PULLMAN, WA 99163
Whitman County (509) 332-2517
BENNO J MOHR MD
Internal Medicine
825 SE BISHOP BLVD STE 200
PULLMAN, WA 99163
Whitman County (509) 332-2517
DENNIS L SIMPSON M.D.
Internal Medicine
825 SE BISHOP BLVD STE 200
PULLMAN, WA 99163
Whitman County (509) 332-2517
BRENNA R HARRIS D.O.
Family Medicine
825 SE BISHOP BLVD STE 200
PULLMAN, WA 99163
Whitman County (509) 332-2517
RICHARD L HOWELL ARNP
Nurse Practitioner (Family)
825 SE BISHOP BLVD STE 200
PULLMAN, WA 99163
Whitman County (509) 332-2517
SUE Y COLE PA-C
Physician Assistant (Medical)
825 SE BISHOP BLVD STE 200
PULLMAN, WA 99163
Whitman County (509) 332-2517
AMMAR RIZVI MD
Internal Medicine
825 SE BISHOP BLVD STE 200
PULLMAN, WA 99163
Whitman County (509) 332-2517

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Moody's NPI number?

The NPI number for Timothy Moody is 1396773222. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Timothy Moody located?

Timothy Moody practices at 825 SE Bishop Blvd Ste 200, Pullman, WA 99163. The listed phone number is (509) 332-2517.

What is Timothy Moody's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

When was this NPI record last updated?

The NPPES record for Timothy Moody was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.