Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Justin Dean Moody, DO

Individual provider Family Medicine Physician · NPI 1639370489

Dr. Justin Dean Moody, DO is an Emergency Medicine in Saint Louis, Missouri. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2005, 21 years ago. Practices with Southeastern Emergency Physicians of Memphis LLC, a 92-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
21
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
IL, MO
In the registry since
2007
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone: (314) 525-1906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 1400 Us Highway 61, Festus, MO 63028-4100 — (636) 933-1111
  • 434 N West St, Perryville, MO 63775-1359 — (573) 547-2536
  • 615 S New Ballas Rd, Saint Louis, MO 63141-8221 — (314) 251-6090
  • 1000 E Cherry St, Troy, MO 63379-1513 — (636) 528-8551
  • 901 E 5th St, Washington, MO 63090-3127 — (636) 239-8011

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2008014393 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2008014393 (MO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036119226 (IL)

Record details

NPI number1639370489
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 30, 2007
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2005 (21 years in practice)
Group practice Southeastern Emergency Physicians Of Memphis Llc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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