SUNG H MOON (NPI# 1346221769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346221769 |
| Entity Type | Individual |
| Full Name | SUNG H MOON |
| Credential | MD |
| Practice Address |
110 Liberty St Brockton MA 02301-5521 |
| Practice Telephone | 5088940400 |
| Practice Fax Number | 5085650157 |
| Mailing Telephone | 5088940400 |
| Mailing Fax Number | 5085650157 |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2013-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 205702 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0102105 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
| 1245491539 | Sung Yoon Moon | Registered Nurse | 400 N Pepper Ave, Colton, CA 92324-1801 | 2008-06-19 |
| 1942305438 | Sung Kil Moon | Anesthesiology | 1310 Southern Ave Se, Washington, DC 20032-4623 | 2006-09-13 |
| Street Address |
110 LIBERTY ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-5521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164416186 | Aqeel Siddiqui | Surgery | 110 Liberty St, Brockton, MA 02301-5521 | 2005-09-06 |
| 1902404981 | Sara Louise Borrello | Dietitian, Registered | 110 Liberty St, Brockton, MA 02301-5674 | 2020-10-13 |
| 1134735392 | Meredith Celine Harrington | Physical Medicine & Rehabilitation | 110 Liberty St, Brockton, MA 02301-5674 | 2020-09-22 |
| 1356951784 | Adam S Donahue | Nurse Practitioner | 110 Liberty St, Brockton, MA 02301-5674 | 2020-07-31 |
| 1427603851 | Kristen Laura Barrett | Registered Nurse | 110 Liberty St, Brockton, MA 02301-5674 | 2019-08-02 |
| 1427611722 | Donovan Kelly | Specialist/Technologist | 110 Liberty St, Brockton, MA 02301-5674 | 2019-04-22 |
| 1316411481 | Cassandra Desjardins | Nurse Practitioner | 110 Liberty St, Brockton, MA 02301-5521 | 2019-01-11 |
| 1407353154 | Dean Robert Howell | Social Worker | 110 Liberty St, Brockton, MA 02301-5674 | 2018-04-10 |
| 1619473725 | Patricia L Ramanauskas | Technician/Technologist | 110 Liberty St, Brockton, MA 02301-5521 | 2018-04-05 |
| 1588182323 | Alicia Reid | Specialist/Technologist | 110 Liberty St, Brockton, MA 02301-5521 | 2017-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578989232 | Innovative Surgical Care | Surgery | 1350 Belmont St., Suite 102, Brockton, MA 02301 | 2014-03-05 |
| 1891723037 | David A Drinkwater | Surgery | 176 Quincy Ave, Brockton, MA 02302-2803 | 2006-06-28 |
| 1235108085 | Robert M Becher | Surgery | 1 Pearl Street, Suite 2700, Brockton, MA 02301-2870 | 2006-03-15 |
| 1811978794 | Valentin K Atanassov | Surgery | 1350 Belmont St, Ste 102, Brockton, MA 02301-4430 | 2005-11-08 |
| 1316332406 | Alexandra Chudner | Surgery | 235 N Pearl St, Brockton, MA 02301-1794 | 2015-04-06 |
| 1184014094 | Joseph Hamel Marcotte | Surgery | 680 Centre St, Brockton, MA 02302-3308 | 2015-01-30 |
| 1588076558 | Alicia Alterio | Surgery | 680 Centre St, Brockton, MA 02302-3308 | 2014-05-27 |
| 1861785081 | Larissa C Chiulli | Surgery | 680 Centre St, Brockton, MA 02302-3308 | 2011-05-20 |
| 1821249566 | Deepti Seshadri | Surgery | 680 Centre St, Brockton, MA 02302-3308 | 2008-09-30 |
| 1902053788 | Xuan Luu | Surgery | 1 Pearl St, Suite 2000, Brockton, MA 02301-2864 | 2008-08-22 |
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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.