Individual provider

Thomas Moody, PHYSICIAN ASSISTANT

Medical Physician Assistant

Thomas Moody, PHYSICIAN ASSISTANT is a Medical Physician Assistant in Watertown, NY, registered under NPI 1467534396.

Getting there

The practice address on file is 21017 STATE ROUTE 12F, Watertown, NY 13601. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

21017 STATE ROUTE 12F, Watertown, NY 13601 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
OO9271 NY Medical Physician Assistant primary
001884 CT Medical Physician Assistant

Licences are recorded in 2 states: NY, CT. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: Connecticut and New York. The practice address on file is in Watertown, NY, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CT Connecticut
Licence
001884
Specialty
Medical Physician Assistant
Verify with the CT board →
NY New York practice address
Licence
OO9271
Specialty
Medical Physician Assistant
Verify with the NY board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Medical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363AM0700X Medical Physician Assistant Medical OO9271 NY primary
363AM0700X Medical Physician Assistant Medical 001884 CT

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1467534396 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 19, 2006
Last updatedJul 8, 2007
StatusActive
Sole proprietorNo
CredentialPHYSICIAN ASSISTANT
Practice address 21017 STATE ROUTE 12F
Watertown, NY 13601
(315) 786-3436
Mailing address 26775 ANABEL AVE
Evans Mills, NY 13637
Other identifiers 4151147 · Other (NY)
This record was last updated on Jul 8, 2007, roughly 19 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1467534396 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 6 7 5 3 4 3 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 3 7 1 3 8 3 9

Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1467534396?
NPI 1467534396 is the National Provider Identifier assigned to Thomas Moody, PHYSICIAN ASSISTANT in Watertown, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Medical cover?
Definition to come...
How do I contact Thomas Moody, PHYSICIAN ASSISTANT?
The phone number on file with NPPES is (315) 786-3436, last updated Jul 8, 2007. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1467534396 a valid number?
Yes. 1467534396 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.