STEVEN L MOON (NPI# 1447208590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447208590 |
| Entity Type | Individual |
| Full Name | STEVEN L MOON |
| Credential | MD |
| Practice Address |
2708 S Rife Medical Ln Ste 140 Rogers AR 72758-1455 |
| Practice Telephone | 4793383720 |
| Mailing Telephone | 4793383720 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2018-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
R4509 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 123657001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1794 E Joyce Blvd, Suite #3, Fayetteville, AR 72703 | 4794424070 | 4794429341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346809738 | Steven Judson Moon | Optometrist | 1501 N Broad St Ste 7, Philadelphia, PA 19122-3319 | 2019-06-10 |
| 1871891721 | Steven Carlton Moon | Pharmacist | 70 E Church St, Jasper, GA 30143-1607 | 2011-03-02 |
| 1699153650 | Steven Moon | Case Manager/Care Coordinator | 132 Lower Ridge Rd, Conway, AR 72032-8518 | 2015-05-11 |
| 1386761880 | Steven L Moon | Chiropractor | 5161 Clayton Rd, Suite E, Concord, CA 94521-3191 | 2007-03-22 |
| Street Address |
2708 S RIFE MEDICAL LN STE 140 |
| City | ROGERS |
| State | AR |
| Zip Code | 72758-1455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326690132 | Paula Suzanne Stephens | Neurological Surgery | 2708 S Rife Medical Ln Ste 140, Rogers, AR 72758 | 2019-07-11 |
| 1689931941 | Andrew Michael Ebers | Internal Medicine | 2708 S Rife Medical Ln Ste 140, Rogers, AR 72758-1455 | 2012-04-11 |
| 1346413929 | Moneeb M. Ehtesham | Neurological Surgery | 2708 S Rife Medical Ln Ste 140, Rogers, AR 72758 | 2008-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
| 1447893235 | Kelsey Elizabeth Sutton | Speech-Language Pathologist | 2100 West Perry Rd, Rogers, AR 72758 | 2019-10-24 |
| 1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
| 1801345426 | The Exclusive Eye, Pllc | Optometrist | 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 | 2016-09-23 |
| 1780063909 | Nicholas Honea | Nurse Anesthetist, Certified Registered | 4600 Centre Court, Rogers, AR 72758 | 2015-05-20 |
| 1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
| 1316354087 | Natalie Horine | Chiropractor | 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 | 2014-07-15 |
| 1205248903 | Clyde K. Tempel | Registered Nurse | 2100 W. New Hope Rd. #1804, Rogers, AR 72758 | 2014-05-29 |
| 1548692445 | Becky Tadlock Ross | Pharmacist | 1766 West Laurel, Rogers, AR 72758 | 2013-08-01 |
| 1497190797 | Medical Associates of Northwest Arkansas Pa | Pediatrics | 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 | 2013-05-01 |
| Find all providers in zip 72758 | ||||
| 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 |
|---|---|---|---|---|
| 1831171263 | Dimitry A. Fomin | Psychiatry & Neurology | 2708 Rife Medical Ln, Suite 200, Rogers, AR 72758-1452 | 2005-11-21 |
| 1063408243 | Barbara Rayfield Bess | Psychiatry & Neurology | 1000 S 52nd St, Rogers, AR 72758-8610 | 2005-09-23 |
| 1245235605 | Gottfried G Jean-louis | Psychiatry & Neurology | 2708 Rife Medical Ln Ste 200, Rogers, AR 72758-1452 | 2005-06-14 |
| 1902238215 | Sulaiman Iftikhar | Psychiatry & Neurology | 2710 S Rife Medical Ln, Rogers, AR 72758 | 2013-08-08 |
| 1013233147 | Neurobess Pa | Psychiatry & Neurology | 1000 S 52nd St, Rogers, AR 72758-8610 | 2010-04-14 |
| 1790930782 | Romer I Mosquera | Psychiatry & Neurology | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2008-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1588143259 | Baptist Health Services | Psychiatry & Neurology | 1500 Dodson Ave Ste 290, Fort Smith, AR 72901 | 2018-08-13 |
| 1346769767 | Arkansas Health Group | Psychiatry & Neurology | 625 United Dr Ste 370b, Conway, AR 72032-7826 | 2017-09-18 |
| 1588016471 | William Denson | Psychiatry & Neurology | 8 Rebanar Ln, Hot Springs Village, AR 71909-3700 | 2016-07-05 |
| 1982082970 | Ernest Escarza Serrano | Psychiatry & Neurology | 3405 Ramsgate Way, Fort Smith, AR 72908-9359 | 2015-05-11 |
| 1942602156 | Baxter County Regional Hospital, Inc | Psychiatry & Neurology | 624 Hospital Dr Ste 2b, Mountain Home, AR 72653-2955 | 2014-09-18 |
| 1588079560 | Pradeep Reddy Kumbham | Psychiatry & Neurology | 2900 Medical Center Pkwy Ste 310, Bentonville, AR 72712-3214 | 2014-06-27 |
| 1104260819 | Rebecca Lee Jones | Psychiatry & Neurology | 8201 Cantrell Rd Ste 265, Little Rock, AR 72227-2347 | 2013-04-24 |
| 1811242639 | Mhd Ezzat Zaghlouleh | Psychiatry & Neurology | 501 Jack Stephens Dr Fl 8, Little Rock, AR 72205 | 2012-07-18 |
| 1033476726 | Jay P Hinkle | Psychiatry & Neurology | 3336 N. Futrall, Fayetteville, AR 72703 | 2012-04-18 |
| Find all providers with the same taxonomy | ||||
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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.