DAVID SUNG-WOOK MOON


Address: 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528
Phone: 6162672500

DAVID SUNG-WOOK MOON (NPI# 1164866414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164866414
Entity Type Individual
Full Name DAVID SUNG-WOOK MOON
Credential M.D.
Practice Address 35 Michigan St Ne Ste 3003
Grand Rapids
MI 49503-2528
Mailing Address 100 Michigan St Ne # Mc845
Grand Rapids
MI 49503-2560
Practice Telephone 6162672500
Enumeration Date 2013-04-17
Last Update Date 2019-10-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
4301114519 MI Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1105 Sixth St, Ekg Read, Traverse City, MI 49684 2319356239 2319357251

Other Providers DAVID MOON

NPI Name Taxonomy Address Enumeration
1538469465 David Moon Physician Assistant 9920 Independence Park Dr Ste 100, Henrico, VA 23233-1487 2010-10-26
1821246802 David Moon Contractor 1619 River Dr, Hammond, IN 46324-3342 2008-09-03
1073573093 David Robert Moon Radiology 409 Fulton St, Palo Alto, CA 94301-1326 2006-03-24
1215917042 David D Moon Family Medicine 241 N Buffalo Dr, Bldg. 1, Las Vegas, NV 89145-0373 2006-01-18
1912324104 David Moon Radiology 2 W Fern Ave, Redlands, CA 92373-5916 2014-03-25
1417053133 David W Moon Family Medicine 276 N Ron Mcnair Blvd, Lake City, SC 29560-2462 2006-09-16
1710098009 David Y Moon Pharmacist 4646 John R St, Detroit, MI 48201-1916 2006-08-31
1831116847 David Andrew Moon Optometrist 3902 Creekside Loop, Suite 110, Yakima, WA 98902-4876 2006-07-16
1548213812 David Myungkee Moon Radiology 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 2006-05-18
1245218627 David D. Moon Emergency Medicine 4567 E. 9th Avenue, Denver, CO 80220-5337 2006-01-05

Office Location

Street Address 35 MICHIGAN ST NE STE 3003
City GRAND RAPIDS
State MI
Zip Code 49503-2528

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215921432 Brian Eric Woodruff Psychiatry & Neurology 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 2005-09-02
1184232332 Erin Elizabeth Swartz Physical Therapist 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 2020-07-14
1407471220 Katelyn Biros Dietitian, Registered 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 2020-06-09
1225668973 Katelyn Frances Eling Speech-Language Pathologist 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 2020-01-22
1285264929 Heather Lynette Francis Speech-Language Pathologist 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 2020-01-22
1225671381 Dana Elise Reckley Nurse Practitioner 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 2019-10-22
1952950347 Breanna Marie Beltz Physician Assistant 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 2019-09-09
1902374267 Gregory Scott Balloid Nurse Practitioner 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 2018-11-05
1972086379 Zoey M Rose Occupational Therapist 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 2018-09-11
1720584931 Gretchen Berry Social Worker 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 2018-04-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
Find all providers in zip 49503

Taxonomy Information

Taxonomy Code 2084N0402X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology with Special Qualifications in Child Neurology

Taxonomy Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184735698 Olufemi O Soyode Psychiatry & Neurology 422 Plymouth Ave Ne, Grand Rapids, MI 49505-6028 2006-08-31
1215921432 Brian Eric Woodruff Psychiatry & Neurology 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 2005-09-02
1942620638 Center for Adolescent and Child Neurology Psychiatry & Neurology 422 Plymouth Ave Ne, Grand Rapids, MI 49505-6028 2014-04-21
1497097588 Harlori Kaur Bains Psychiatry & Neurology 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 2013-03-26
1679898357 Jena Marie Krueger Psychiatry & Neurology 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2514 2010-04-06
1518128974 Seth Philip Devries Psychiatry & Neurology 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503 2008-06-18
1942461447 Anastasia Luniova Psychiatry & Neurology 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2514 2008-06-18
1710165030 Albert Da-tzu Ho Psychiatry & Neurology 245 Cherry St Se, Ste 200, Grand Rapids, MI 49503 2008-02-08
1457444531 Angel W Hernandez Psychiatry & Neurology 35 Michigan St Ne, Suite 3003, Grand Rapids, MI 49503-2514 2006-10-02
1114993474 Jason Umfleet Psychiatry & Neurology 35 Michigan Ne, Suite 3003, Grand Rapids, MI 49503 2006-02-27
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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