MARK MOON (NPI# 1437107034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437107034 |
| Entity Type | Individual |
| Full Name | MARK MOON |
| Credential | MD |
| Practice Address |
7707 Paragon Rd Ste 101 Centerville OH 45459 |
| Mailing Address |
Po Box 3266 St Augustine FL 32085-3266 |
| Practice Telephone | 9372086920 |
| Practice Fax Number | 9372086948 |
| Mailing Telephone | 9048194602 |
| Mailing Fax Number | 9372239811 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 35.126007 | OH | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | ME79597 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4500 San Pablo Rd S, Jacksonville, FL 322241865 | 9049532000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114323276 | Mark Andrew Moon | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2014-11-17 |
| Street Address |
7707 PARAGON RD STE 101 |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
| 1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
| 1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
| 1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
| 1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
| 1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
| 1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
| 1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
| 1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
| 1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
| Find all providers in zip 45459 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073815122 | Pioneer Health Associates, LLC | Internal Medicine | 9223 Great Lakes Cir, Centerville, OH 45458-3677 | 2010-11-23 |
| 1114118114 | Kenneth E Quickel | Internal Medicine | 435 Elliott Rd, Centerville, MA 02632-3666 | 2007-08-05 |
| 1013040708 | Shahila Navayogarajah | Internal Medicine | 7457 Pelbrook Farm Dr, Centerville, OH 45459-5066 | 2007-03-13 |
| 1154460640 | Mayer Rubenstein | Internal Medicine | 60 Huckins Neck Rd, Centerville, MA 02632-1843 | 2007-02-05 |
| 1871695908 | John F. Berry, M.d., P.C. | Internal Medicine | 1949 Falmouth Rd, Centerville, MA 02632-3119 | 2006-09-01 |
| 1902849169 | Gem City Physicians Inc | Internal Medicine | 7668 Paragon Rd, Ste A, Centerville, OH 45459-4049 | 2006-06-14 |
| 1013967058 | John F Berry Jr. | Internal Medicine | 1949 Route 28, Centerville, MA 02632-3119 | 2006-05-11 |
| 1578538435 | Jilian Waite | Internal Medicine | 341 Sentinel Oak Dr, Centerville, OH 45458-4074 | 2006-02-22 |
| 1225029549 | Melissa Mei Jung Butler | Internal Medicine | 6661 Clyo Rd, Centerville, OH 45459-2767 | 2005-11-04 |
| 1558356170 | Anton Constantin Vasiliu | Internal Medicine | 6611 Clyo Rd, Suite E, Centerville, OH 45459-2786 | 2005-09-20 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 45459 |
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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.