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

Mr. Thomas U. Moody Sr., PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1467534396

Mr. Thomas U. Moody Sr., PHYSICIANASSISTANT is a Medical Physician Assistant in Watertown, New York. Licensed in Connecticut and New York. Registered with an NPI since 2006.

Licensed in
CT, NY
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

21017 State Route 12F
Watertown, NY 13601-1078
Phone: (315) 786-3436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence OO9271 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 001884 (CT)

Record details

NPI number1467534396
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 19, 2006
Last updated in NPPESJuly 8, 2007

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