DR. JUSTIN SUK JOO MOON (NPI# 1215019609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215019609 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN SUK JOO MOON |
| Credential | M.D, M.P.H. |
| Practice Address |
950 E Harvard Ave Ste 570 Denver CO 80210 |
| Mailing Address |
950 E Harvard Ave Ste 570 Denver CO 80210-7003 |
| Practice Telephone | 3037159024 |
| Practice Fax Number | 3037155020 |
| Mailing Telephone | 3037159024 |
| Mailing Fax Number | 3037155020 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2019-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
DR.0046584 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 71524011 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 1st St Sw, Rochester, MN 559050001 | 5072842511 |
| Street Address |
950 E HARVARD AVE STE 570 |
| City | DENVER |
| State | CO |
| Zip Code | 80210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912196 | Katie Nading | Nurse Practitioner | 950 E Harvard Ave Ste 570, Denver, CO 80210-7003 | 2020-11-05 |
| 1558911099 | Rachel Mcgee | Specialist/Technologist, Other | 950 E Harvard Ave Ste 570, Denver, CO 80210-7003 | 2019-09-17 |
| 1609337419 | Lee Rumery | Specialist/Technologist, Other | 950 E Harvard Ave Ste 570, Denver, CO 80210-7003 | 2019-03-26 |
| 1104396647 | Kim Ngan Huynh | Psychiatry & Neurology | 950 E Harvard Ave Ste 570, Denver, CO 80210-7003 | 2018-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408360 | Carley Danielle Westerson | Counselor | 290 North Williams Street, Room #205, Denver, CO 80210 | 2019-10-14 |
| 1427690429 | Katherine Elizabeth Mullen | Chiropractor | 1313 S Clarkson St. Unit 1, Denver, CO 80210 | 2019-10-10 |
| 1922665975 | Amy Welsh, Inc | Occupational Therapist | 1588 S Logan St, Denver, CO 80210 | 2019-05-24 |
| 1598328346 | Heather Lynn Stone | Social Worker | 950 E Porter Avenue #670, Denver, CO 80210 | 2019-04-17 |
| 1669952909 | Christopher G. Sharrow | Social Worker | 1777 S. Harrison St., Suite 1200, Denver, CO 80210 | 2018-08-16 |
| 1922598952 | Rebecca Turlo | Hearing Instrument Specialist | 950 E Harvard Ave Ste E620, Denver, CO 80210 | 2018-05-15 |
| 1215446083 | Alex James Koch | Acupuncturist | 1110 E Evans Ave, Denver, CO 80210 | 2017-09-25 |
| 1043738495 | Sarah Urycki | Counselor | 2317 A S Race Street, Denver, CO 80210 | 2017-09-06 |
| 1770032641 | The Young Men's Christian Association of Metropolitan Denver | Health Educator | 3901 E Yale Ave, Denver, CO 80210 | 2016-10-03 |
| 1831647437 | Samantha Johnson | Nurse Practitioner | 450 E Harvard Ave, Denver, CO 80210 | 2016-09-13 |
| Find all providers in zip 80210 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902377179 | Para Health, LLC | Psychiatry & Neurology | 1091 E Bayaud Ave Apt W2604, Denver, CO 80209-2783 | 2018-12-16 |
| 1558715516 | Tara Celeste Carlisle | Psychiatry & Neurology | 3055 Roslyn St Unit 120, Denver, CO 80238-3324 | 2016-04-15 |
| 1346679826 | Michael A. Ament, M.d., Pllc | Psychiatry & Neurology | 4622 W Moncrieff Pl, Denver, CO 80212-1604 | 2013-11-05 |
| 1235484684 | Cherry Creek Neurology | Psychiatry & Neurology | 1720 S. Bellaire St. Ste 200, Denver, CO 80222 | 2012-07-20 |
| 1043538085 | Susan Patrice Anzalone | Psychiatry & Neurology | 1873 S Bellaire St Ste 620, Denver, CO 80222-4353 | 2010-05-15 |
| 1710140017 | Lawrence P Scibilia | Psychiatry & Neurology | 1660 S Albion St Ste 425, Denver, CO 80222 | 2008-07-07 |
| 1023207941 | Neurovision PC | Psychiatry & Neurology | 3480 S Galena St, 4b, Denver, CO 80231-5504 | 2007-10-16 |
| 1063567477 | Advanced Neurological Evaluation and Treatment Center PC | Psychiatry & Neurology | 1721 E 19th Ave Ste 510, Denver, CO 80218-1243 | 2007-01-24 |
| 1639227564 | David Seymour Madison | Psychiatry & Neurology | 2525 So Downing, Porter Hosp, Denver, CO 80210 | 2007-01-08 |
| 1558469882 | Catholic Health Initiatives Colorado | Psychiatry & Neurology | 4231 W. 16th Ave, Denver, CO 80204 | 2006-09-20 |
| Find all providers in DENVER | ||||
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| 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.