SOON MOON (NPI# 1902367188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902367188 |
| Entity Type | Individual |
| Full Name | SOON MOON |
| Credential | DO |
| Practice Address |
20000 Harvard Road Warrensville Heights OH 44122 |
| Practice Telephone | 2164916000 |
| Mailing Telephone | 2164916000 |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
20000 HARVARD ROAD |
| City | WARRENSVILLE HEIGHTS |
| State | OH |
| Zip Code | 44122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922114578 | Garrett S. Lasalle | Internal Medicine | 20000 Harvard Road, Warrensville Heights, OH 44122 | 2006-08-23 |
| 1861982803 | Royson Valliyil | Student in an Organized Health Care Education/Training Program | 20000 Harvard Road, South Pointe Hospital, Warrensville Heights, OH 44122 | 2018-05-15 |
| 1043709553 | William Gaines Cumbie | Student in an Organized Health Care Education/Training Program | 20000 Harvard Road, Warrensville Heights, OH 44122-6805 | 2018-05-09 |
| 1528450368 | Melissa Ann Horan-smith | Emergency Medicine | 20000 Harvard Road, Warrensville Heights, OH 44122 | 2015-03-03 |
| 1578989778 | Laurel Nemunaitis | Emergency Medicine | 20000 Harvard Road, Warrensville Heights, OH 44122 | 2014-03-12 |
| 1396043477 | Nicole Ramon | Surgery | 20000 Harvard Road, Warrensville Heights, OH 44122 | 2011-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376049510 | Cory Rene Brune | Student in an Organized Health Care Education/Training Program | South Pointe Hospital, 20000 Harvard Rd, Warrensville Heights, OH 44122 | 2018-04-05 |
| 1144847005 | Penina Gross-richmond | Student in an Organized Health Care Education/Training Program | 4180 Warrensville Center Rd, Warrensville Heights, OH 44122-7024 | 2020-06-26 |
| 1437779303 | Brian Matthew Cost | Student in an Organized Health Care Education/Training Program | South Pointe Hospital, 20000 Harvard Road, Warrensville Heights, OH 44122 | 2020-04-21 |
| 1528688769 | Taylor Keith Bowman | Student in an Organized Health Care Education/Training Program | 20000 Harvard Ave, Warrensville Heights, OH 44122-6805 | 2020-04-17 |
| 1316566698 | Benjamin Mark Strickland | Student in an Organized Health Care Education/Training Program | 20000 Harvard Ave, Warrensville Heights, OH 44122-6805 | 2020-04-15 |
| 1659990133 | Elliott Chiartas | Student in an Organized Health Care Education/Training Program | 20000 Harvard Ave, Warrensville Heights, OH 44122-6805 | 2020-04-14 |
| 1376162032 | Hoaky Lam | Student in an Organized Health Care Education/Training Program | 20000 Harvard Ave, Warrensville Heights, OH 44122-6805 | 2020-04-13 |
| 1023647385 | Taylor Jordan Stang | Student in an Organized Health Care Education/Training Program | 20000 Harvard Ave, Warrensville Heights, OH 44122-6805 | 2020-04-07 |
| 1689203242 | Angelina Trovato | Student in an Organized Health Care Education/Training Program | 20000 Harvard Ave, Warrensville Heights, OH 44122-6805 | 2020-04-06 |
| 1316576028 | Lindsay Ann Perusek | Student in an Organized Health Care Education/Training Program | 20000 Harvard Ave, Warrensville Heights, OH 44122-6805 | 2020-04-04 |
| Find all providers in WARRENSVILLE HEIGHTS | ||||
| City | WARRENSVILLE HEIGHTS |
| Zip Code | 44122 |
Please comment or provide details below to improve the information on SOON MOON.
| 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.