RONALD LAVOR MOON (NPI# 1598023954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598023954 |
| Entity Type | Individual |
| Full Name | RONALD LAVOR MOON |
| Credential | CST/CSFA |
| Practice Address |
9806 Red Deer St Las Vegas NV 89143 |
| Mailing Address |
9806 Red Deer St Las Vegas NV 89143-1155 |
| Practice Telephone | 7029858297 |
| Mailing Telephone | 7029858297 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2018-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427466135 | Ronald O'neil Moon | Counselor | 17924 140th Ave Ne, Ste # 230, Woodinville, WA 98072-4315 | 2014-07-25 |
| 1821125238 | Ronald J Moon | Dentist | 3100 Timmons Ln, Suite 260, Houston, TX 77027-5926 | 2007-02-27 |
| 1043203334 | Ronald Tai Young Moon | Neuromusculoskeletal Medicine & OMM | 820 University Blvd, Birmingham, AL 35233-1111 | 2005-08-23 |
| Street Address |
9806 RED DEER ST |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487066072 | A Third Hand | Specialist/Technologist, Other | 9806 Red Deer St, Las Vegas, NV 89143 | 2014-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356735823 | Rodney Sholty | Family Medicine | 8121 Caramel Gorge Ct, Las Vegas, NV 89143 | 2015-03-23 |
| 1417345505 | Anthony Cialkowski | Physical Therapy Assistant | 8412 Timber Pine Ave., Las Vegas, NV 89143 | 2014-12-26 |
| 1396961611 | Joseph (joe) David Cracraft | Specialist | 6375 West Charleston Blvd., Las Vegas, NV 89143 | 2007-04-17 |
| 1255630356 | Daughters of Zion LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8444 Bandit Bluff Ave, Las Vegas, NV 89143-0289 | 2011-03-15 |
| 1689000416 | Ezekiel Perez | Behavioral Analyst | 8913 Big Plantation Ave, Las Vegas, NV 89143-1112 | 2013-09-25 |
| 1164794319 | Nina Henderson | Rehabilitation Practitioner | 8908 Picket Fence Ave, Las Vegas, NV 89143-1114 | 2012-02-03 |
| 1407076821 | Steven Daniel Fisher | Social Worker | 9049 Pine Mission Ave, Las Vegas, NV 89143-1124 | 2007-04-26 |
| 1730788910 | Raney Yatomi | Behavior Technician | 8928 Reining Spur Ave, Las Vegas, NV 89143-1130 | 2020-10-20 |
| 1982903738 | Trenton Brisco | Behavioral Analyst | 9509 Yellowshale St, Las Vegas, NV 89143-1137 | 2011-03-18 |
| 1467888115 | Samuel Trachet | Behavioral Analyst | 9405 Steeltree St, Las Vegas, NV 89143-1144 | 2013-09-25 |
| Find all providers in zip 89143 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453186 | High Cotton LLC | Physician Assistant | 7995 Blue Diamond Rd Ste 102-356, Las Vegas, NV 89178-9301 | 2020-10-06 |
| 1427591759 | Eduardo Delatorre | Physician Assistant | 7978 Coronado Coast St, Las Vegas, NV 89139-6192 | 2016-11-17 |
| 1992130181 | Jason Michael Hall | Physician Assistant | 7385 S Pecos Rd Ste 101, Las Vegas, NV 89120-3768 | 2013-09-06 |
| 1790024164 | Rachelle L Kidd | Physician Assistant | 9162 Ballineen Ct, Las Vegas, NV 89148-4946 | 2013-02-05 |
| 1104162643 | David J Barth P.C. | Physician Assistant | 5455 S Fort Apache Rd Ste 108-9, Las Vegas, NV 89148-6408 | 2013-01-02 |
| 1184977555 | Luke V. Desjarlais, Pllc | Physician Assistant | 9035 Westchester Hill Ave, Las Vegas, NV 89148-4926 | 2012-10-22 |
| 1720319890 | Tiffany Ann Teepen | Physician Assistant | 8420 W Warm Springs Rd # 100, Las Vegas, NV 89113-3624 | 2010-01-28 |
| 1093046963 | Physician Assistant Surgical Specialists | Physician Assistant | 8979 Haviland Rd, Las Vegas, NV 89123-0617 | 2010-01-16 |
| 1578745667 | Jonna Erin Dewaal | Physician Assistant | 3308 Crystal Tower St, Las Vegas, NV 89129-8141 | 2007-11-29 |
| 1003001025 | Maria Bass | Physician Assistant | 9499 W Charleston, #200 Ossm, Las Vegas, NV 89117 | 2007-09-12 |
| Find all providers in LAS VEGAS | ||||
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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.