DR. JUSTIN SUK JOO MOON


Address: 950 E Harvard Ave Ste 570, Denver, CO 80210
Phone: 3037159024

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
DR.0046584 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO 71524011 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
200 1st St Sw, Rochester, MN 559050001 5072842511

Office Location

Street Address 950 E HARVARD AVE STE 570
City DENVER
State CO
Zip Code 80210

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City DENVER
Zip Code 80210

Improve Information

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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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