ELEANORE KIM-MOON


Address: 2222 Bancroft Way Spc 4300, University of California, Berkeley - Tang Center, Berkeley, CA 94720-2528
Phone: 5106422000

ELEANORE KIM-MOON (NPI# 1225144835) 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) 1225144835
Entity Type Individual
Full Name ELEANORE KIM-MOON
Credential M.D.
Practice Address 2222 Bancroft Way Spc 4300
University of California, Berkeley - Tang Center
Berkeley
CA 94720-2528
Practice Telephone 5106422000
Practice Fax Number 5106423520
Mailing Telephone 5106422000
Mailing Fax Number 5106423520
Enumeration Date 2006-08-23
Last Update Date 2009-12-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology A72756 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 2222 BANCROFT WAY SPC 4300
UNIVERSITY OF CALIFORNIA, BERKELEY - TANG CENTER
City BERKELEY
State CA
Zip Code 94720-2528

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871115600 Darius L Taylor Social Worker 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300 2020-05-14
1992325096 Marilyn Chung Student in an Organized Health Care Education/Training Program 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300 2020-04-20
1093349938 Paul Warren Eastman Psychologist 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4304 2020-03-01
1780249847 Jason Straussman Social Worker 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300 2019-05-04
1780248138 Daniel Christopher Meza Psychologist 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300 2019-04-30
1295399038 Andrea Godinez Counselor 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300 2019-04-26
1447710330 Sonia Amin Student in an Organized Health Care Education/Training Program 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300 2019-03-25
1740762939 Samantha Alberto Counselor 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300 2018-09-04
1821574120 Maidere Sorhondo Counselor 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300 2018-07-19
1073099479 Jessica Acock Carlisle Student in an Organized Health Care Education/Training Program 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300 2018-07-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609352798 Richard Phan Optometrist 200 Minor Ln, Berkeley, CA 94720 2018-07-12
1184082067 Carmen Lee Registered Nurse 2222 Bancroft Way, Mc4300, Berkeley, CA 94720 2016-02-05
1922355148 Cynthia Medina Counselor 2222 Bancroft Way #4300, Berkeley, CA 94720 2012-08-07
1811199615 Ellen De Neef Physical Therapist 2222 Bancroft, Berkeley, CA 94720 2007-06-04
1427185529 Margaret Anne Fisher Nurse Practitioner 2222 Bancroft Ave, Berkeley, CA 94720 2007-02-27
1619049285 Vikki V. Yu Optometrist 230 Minor Hall, Uc Berkeley School of Optometry, Berkeley, CA 94720 2006-11-15
1801992755 Robert K Osborne Dds & Assoc Inc Dentist 1177 South Main St, North Canton, OH 94720 2006-09-16
1154949899 Thuy-trang Nguyen Optometrist 230 Minor Hall, Berkeley, CA 94720 2020-07-09
1619498656 Celia R Gong Optometrist 230 Minor Hall, Berkeley, CA 94720 2017-06-29
1790234680 Kelsey Lindquist Specialist/Technologist 185 Haas Pavilion, Berkeley, CA 94720 2016-10-03
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649618976 Stanley Solomon Wulf Obstetrics & Gynecology 1016 Cragmont Ave, Berkeley, CA 94708-1412 2013-06-09
1457403818 Marianne Sommerville Obstetrics & Gynecology 2450 Ashby Ave Rm 3040, Berkeley, CA 94705-2067 2007-01-17
1518036714 Jim Hisao Nishimine Obstetrics & Gynecology 2507 Ashby Avenue, Berkeley, CA 94705 2006-11-06
1306801477 Carol Livingston Obstetrics & Gynecology 2450 Ashby Ave Ste 3040, Berkeley, CA 94705-2067 2006-04-19
1801898283 Trissa Baden Obstetrics & Gynecology 2450 Ashby Ave Ste 5505, Berkeley, CA 94705-2067 2005-08-15
1891296497 Baychildren's Physicians Obstetrics & Gynecology 3000 Colby St Ste 301, Berkeley, CA 94705-2058 2018-02-28
1215391750 Diane Maria Schneider Speechley Obstetrics & Gynecology 2450 Ashby Ave Rm 3040, Berkeley, CA 94705-2067 2016-04-11
1417351131 Qinshi Pan Obstetrics & Gynecology 2450 Ashby Ave, Berkeley, CA 94705-2067 2014-10-09
1366853871 University Healthcare Alliance Obstetrics & Gynecology 3000 Colby St, Berkeley, CA 94705-2083 2014-05-19
1619311453 Rebecca L Taub Obstetrics & Gynecology 2500 Milvia St, Berkeley, CA 94704 2013-04-23
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Competitor

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City BERKELEY
Zip Code 94720

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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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