TAESUN MOON (NPI# 1760595755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760595755 |
| Entity Type | Individual |
| Full Name | TAESUN MOON |
| Credential | D.O. |
| Practice Address |
600 Somerset Ave Windber PA 15963-1331 |
| Mailing Address |
161 Kenwood Ave Oneida NY 13421-2829 |
| Practice Telephone | 8144674750 |
| Practice Fax Number | 8144674751 |
| Mailing Telephone | 7184964981 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2013-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 240499 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 2808280 | 05 | |
| PA | MEDICAL LICENSE | OS016770 | 01 |
| Street Address |
600 SOMERSET AVE |
| City | WINDBER |
| State | PA |
| Zip Code | 15963-1331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123052 | Dianna Craig | Surgery | 600 Somerset Ave, Windber, PA 15963-1331 | 2005-06-09 |
| 1023629995 | Elizabeth Marie Stiffler | Physical Therapist | 600 Somerset Ave, Windber, PA 15963-1331 | 2020-08-13 |
| 1063020881 | Jessica Mankowski | Physical Therapist | 600 Somerset Ave, Windber, PA 15963-1331 | 2020-07-17 |
| 1568091684 | Rebecca Jo Kebberly | Obstetrics & Gynecology | 600 Somerset Ave, Windber, PA 15963-1331 | 2020-04-02 |
| 1235778135 | Windber Hospital, Inc | Family Medicine | 600 Somerset Ave, Windber, PA 15963-1331 | 2019-12-26 |
| 1124665369 | Kelli Long | Physical Therapist | 600 Somerset Ave, Windber, PA 15963-1331 | 2019-12-06 |
| 1881242303 | Johnathan Taylor Candelaria | Physical Medicine & Rehabilitation | 600 Somerset Ave, Windber, PA 15963-1397 | 2019-08-28 |
| 1073169967 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 600 Somerset Ave, Windber, PA 15963-1331 | 2019-08-15 |
| 1023663143 | Kristin Reed | Physical Therapist | 600 Somerset Ave, Windber, PA 15963-1331 | 2019-08-06 |
| 1265916886 | Jamie Hicks | Nurse Practitioner | 600 Somerset Ave, Windber, PA 15963-1331 | 2018-09-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679897748 | Medical Group of Windber Inc. | Non-Pharmacy Dispensing Site | 500 Somerset Street, Windber, PA 15963 | 2010-03-18 |
| 1023271400 | Robert J. Waibel | Physical Therapist | 1304 Graham Avenue, Windber, PA 15963 | 2008-07-07 |
| 1760549315 | David Neil Kreinbrook Sr. | Chiropractor | 508 15th Street, Windber, PA 15963 | 2007-01-02 |
| 1760579270 | Gail Louise Frycklund | Nurse Anesthetist, Certified Registered | 138 Lyn Lane, Windber, PA 15963 | 2006-10-06 |
| 1215043559 | Matthew Jerome Klena | Dentist | 1812 Stockholm Ave, Windber, PA 15963 | 2006-08-21 |
| 1104818756 | Jerry L Gray | Internal Medicine | 1599 Somerset Ave, Ste #1, Windber, PA 15963 | 2005-08-19 |
| 1720070436 | David J Bencie | Internal Medicine | 620 7th Street, Suite A, Windber, PA 15963 | 2005-08-18 |
| 1578555280 | David A Csikos | Internal Medicine | 1511 Scalp Avenue, Suite A, Windber, PA 15963 | 2005-08-18 |
| 1407468655 | Daniel Zambanini | Physical Therapist | 600 Somerset Avenue, Windber, PA 15963 | 2020-08-19 |
| 1871076612 | Angela Marie Yoder | Counselor | 2301 Graham Ave, Windber, PA 15963 | 2018-09-07 |
| Find all providers in zip 15963 | ||||
| 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 |
|---|---|---|---|---|
| 1659334357 | Dewitt E. Kemp IIi, Md, LLC | Surgery | 609 Somerset Ave, Windber, PA 15963-1330 | 2006-04-11 |
| 1134123052 | Dianna Craig | Surgery | 600 Somerset Ave, Windber, PA 15963-1331 | 2005-06-09 |
| 1669773594 | Windber Hospital Inc | Surgery | 600 Somerset Ave, Windber, PA 15963-1331 | 2010-11-09 |
| 1669684213 | Peter Marcel Bertin | Surgery | 600 Somerset Ave, Windber, PA 15963-1331 | 2007-05-04 |
| 1629178330 | Trudi J Brown | Surgery | 600 Somerset Ave, Windber, PA 15963-1331 | 2006-09-23 |
| 1417911470 | Surgical Associates of Windber | Surgery | 609 Somerset Ave, Windber, PA 15963-1330 | 2006-04-14 |
| 1225091044 | Windber Hospital, Inc. | Surgery | 600 Somerset Ave, Windber, PA 15963-1331 | 2006-04-11 |
| 1912981531 | Dewitt E Kemp | Surgery | 600 Somerset Ave, Windber, PA 15963-1331 | 2005-12-06 |
| 1376543942 | Windber Hospital, Inc. | Surgery | 600 Somerset Ave, Windber, PA 15963-1331 | 2005-07-26 |
| 1013914290 | Rodolfo Lazo Furigay | Surgery | 600 Somerset Ave, Windber, PA 15963-1331 | 2005-07-04 |
| Find all providers in WINDBER | ||||
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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.