DAVID MOON (NPI# 1821246802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821246802 |
| Entity Type | Individual |
| Full Name | DAVID MOON |
| Practice Address |
1619 River Dr Hammond IN 46324-3342 |
| Practice Telephone | 2195138484 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538469465 | David Moon | Physician Assistant | 9920 Independence Park Dr Ste 100, Henrico, VA 23233-1487 | 2010-10-26 |
| 1073573093 | David Robert Moon | Radiology | 409 Fulton St, Palo Alto, CA 94301-1326 | 2006-03-24 |
| 1215917042 | David D Moon | Family Medicine | 241 N Buffalo Dr, Bldg. 1, Las Vegas, NV 89145-0373 | 2006-01-18 |
| 1912324104 | David Moon | Radiology | 2 W Fern Ave, Redlands, CA 92373-5916 | 2014-03-25 |
| 1164866414 | David Sung-wook Moon | Psychiatry & Neurology | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2013-04-17 |
| 1417053133 | David W Moon | Family Medicine | 276 N Ron Mcnair Blvd, Lake City, SC 29560-2462 | 2006-09-16 |
| 1710098009 | David Y Moon | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2006-08-31 |
| 1831116847 | David Andrew Moon | Optometrist | 3902 Creekside Loop, Suite 110, Yakima, WA 98902-4876 | 2006-07-16 |
| 1548213812 | David Myungkee Moon | Radiology | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | 2006-05-18 |
| 1245218627 | David D. Moon | Emergency Medicine | 4567 E. 9th Avenue, Denver, CO 80220-5337 | 2006-01-05 |
| Street Address |
1619 RIVER DR |
| City | HAMMOND |
| State | IN |
| Zip Code | 46324-3342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174183024 | Northwest Indiana Hospital, LLC | General Acute Care Hospital | 7904 Cabela Dr., Hammond, IN 46324 | 2019-06-13 |
| 1679049779 | Secure Dental Viii | Dentist | 7905 Indianapolis Blvd, Indianan, IN 46324 | 2018-10-17 |
| 1710317615 | Christopher Keown-belous | Marriage & Family Therapist | 7030 Indianapolis Blvd, Hammond, IN 46324 | 2013-11-14 |
| 1316296114 | Planned Parenthood of Indiana Hammond | Clinic/Center | 7131 Indianapolis Blvd., Hammond, IN 46324 | 2012-09-07 |
| 1427343862 | Amanda Rose Popovich | Behavioral Analyst | 7110 Magoun Avenue, Hammond, IN 46324 | 2011-06-14 |
| 1588804751 | Tanesha Marnise Williams | Technician | 5831 Erie St, Hammond, IN 46324 | 2009-03-02 |
| 1417039652 | Debra Antoinette Petersen | Nurse Practitioner | 7131 Indianapolis Blvd, Hammond, IN 46324 | 2006-10-19 |
| 1568455467 | Elisabeth Cleary Shearon | Pathology | Alvero Clinical Laboratories, 3434 Interstate Plaza Dr, Hammond, IN 46324 | 2005-08-25 |
| 1578958278 | Aditya Shah | Family Medicine | 6920 Indianapolis Blvd, Hammond, IN 46324 | 2015-03-31 |
| 1770928509 | Hammond Dental Group LLC | Dentist | 6414 Calumet Ave, Hammond, IN 46324 | 2013-05-07 |
| Find all providers in zip 46324 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487013348 | Robin Miceli | Contractor | 20444 Lullabye Ln, Hammond, LA 70401-4104 | 2016-02-19 |
| 1114333663 | Eve Pinkey | Contractor | 1124 Truman St, Upper, Hammond, IN 46320-1347 | 2014-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939858 | Jeffrey Allen Hammond | Contractor | 3966 Rowlett Pl, Carmel, IN 46074-8351 | 2020-07-20 |
| 1205452588 | Pathfinders Child and Family Services LLC | Contractor | 10882 Lantern View Dr Apt 203, Fishers, IN 46038-4212 | 2020-06-22 |
| 1780207951 | Jillian Willis | Contractor | 2 N Meridian St Fl 2nd, Indianapolis, IN 46204-3006 | 2020-05-22 |
| 1922620459 | Latosha Wilson | Contractor | 3209 W Riggin Rd, Muncie, IN 47304-1032 | 2020-05-06 |
| 1396370466 | Tony Langston | Contractor | 3618 Dawnwood Dr, Indianapolis, IN 46227-7971 | 2020-03-09 |
| 1811546344 | Sherron Marie Washington | Contractor | 2346 S Lynhurst Dr Ste 200, Indianapolis, IN 46241-5135 | 2019-09-07 |
| 1831750835 | Danita Johnson | Contractor | 5569 Bracken Dr, Indianapolis, IN 46239-6876 | 2019-06-21 |
| 1811555089 | Robin Cartwright | Contractor | 2731 Manlove Ave, Indianapolis, IN 46218-2637 | 2019-06-03 |
| 1407325376 | April Beverly Bartlett | Contractor | 5205 E Washington St, Indianapolis, IN 46219-6325 | 2018-11-20 |
| 1508349648 | Maria A St. Clair | Contractor | 5506 Dollar Hide South Dr, Indianapolis, IN 46221-4113 | 2018-09-14 |
| 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.