MR. THOMAS U. MOODY SR. PHYSICIAN ASSISTANT
NPI 1467534396
Physician Assistant - Medical in Watertown, NY

Q: What is Thomas Moody's NPI number?

The NPI number for Thomas Moody is 1467534396. It was assigned to this individual provider in the NPPES registry on October 19, 2006. The provider is also known as Mr. Thomas U. Moody Pa-C.

Q: What is Thomas Moody's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Moody was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 19, 2006

21017 STATE ROUTE 12F, WATERTOWN, NY 13601(315) 786-3436 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mr. Thomas U. Moody Sr. Physician Assistant NPPES

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

MR. THOMAS U. MOODY SR. PHYSICIAN ASSISTANT (NPI 1467534396) is an individual medical provider in Watertown, New York, licensed in New York (OO9271) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1467534396

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. THOMAS U. MOODY SR.Credential: PHYSICIAN ASSISTANT

Location Address21017 STATE ROUTE 12FWatertown, NY 13601-1078

Mailing Address26775 Anabel AveEvans Mills, NY 13637-3212 · (315) 629-1443

Phone(315) 786-3436

Sole ProprietorNo

Enumeration DateOctober 19, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1467534396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in NY · OO9271✔ Licensed in CT · 001884

21017 STATE ROUTE 12F, Watertown, NY 13601

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Other Names 1

Professional Name (2)Mr. Thomas U. Moody Pa-c

Other Identifiers 1

Other4151147NY · Mvp Healthcare Pin #

Other Providers at the Same Location NPPES

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

DR. WALTER AUGUST MINAERT JR. MD

Surgery

21017 STATE ROUTE 12F
WATERTOWN, NY 13601

Jefferson County (315) 782-1990

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 Thomas Moody's NPI number?

The NPI number for Thomas Moody is 1467534396. It was assigned to this individual provider in the NPPES registry on October 19, 2006. The provider is also known as Mr. Thomas U. Moody Pa-C.

Where is Thomas Moody located?

Thomas Moody practices at 21017 State Route 12F, Watertown, NY 13601. The listed phone number is (315) 786-3436.

What is Thomas Moody's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Thomas Moody was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.