CHRISTOPHER MICHAEL MOON (NPI# 1912286774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912286774 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER MICHAEL MOON |
| Credential | PA |
| Practice Address |
630 13th St Augusta GA 30901-1015 |
| Mailing Address |
1125 Troupe St Augusta GA 30904-4480 |
| Practice Telephone | 7067242500 |
| Practice Fax Number | 7068235928 |
| Mailing Telephone | 7067374575 |
| Mailing Fax Number | 7067315289 |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2020-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3624 J Dewey Gray Cir Ste 100, Augusta, GA 309096585 | 7068549932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689124117 | Christopher Scott Moon | Technician, Other | 579 Hampton Cir Nw, 1b, Walker, MI 49534-7830 | 2016-10-07 |
| 1043221443 | Christopher A Moon | Podiatrist | 1256 S Jackson St, Frankfort, IN 46041-3311 | 2006-08-10 |
| 1376608190 | Christopher Moon | Counselor | 200 Ne Missouri Rd, Suite 302, Lees Summit, MO 64086-4720 | 2006-12-22 |
| 1699700732 | Christopher S Moon | Family Medicine | 100 Medical Dr, Ashland, VA 23005-1125 | 2006-07-11 |
| 1164476586 | Christopher H Moon | Surgery | 1 Jarrett White Rd, Tripler Army Medical Center Attn: Mchk-dsg, Tripler Amc, HI 96859-5001 | 2006-05-20 |
| 1255312542 | Christopher M Moon | Physical Therapist | 1910 Sassafras St, Suite 200, Erie, PA 16502-2726 | 2005-11-14 |
| 1831182096 | Christopher J Moon | Pediatrics | 14408 E Sprague Ave, Spokane Valley, WA 99216-2167 | 2005-08-23 |
| Street Address |
630 13TH ST |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-1015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447257811 | Pamela Barber Salazar | Physical Medicine & Rehabilitation | 630 13th St, Suite 10, Augusta, GA 30901-1015 | 2005-06-30 |
| 1629630199 | Kevin Finnegan | Nurse Practitioner | 630 13th St, Augusta, GA 30901-1015 | 2019-07-03 |
| 1679025829 | Patricia Getsinger | Nurse Practitioner | 630 13th St, Augusta, GA 30901-1015 | 2016-11-03 |
| 1649688193 | Amanda Frame | Nurse Practitioner | 630 13th St, Augusta, GA 30901-1015 | 2014-07-29 |
| 1134412331 | Fresenius Vascular Care Augusta, LLC | Radiology | 630 13th St, Suite 250, Augusta, GA 30901-1015 | 2011-05-20 |
| 1497044028 | Alfred Jacob Harper II | Nurse Anesthetist, Certified Registered | 630 13th St, Suite 250, Augusta, GA 30901-1015 | 2011-04-05 |
| 1679882625 | Clay Bryan Cushman | Physician Assistant | 630 13th St, Ste 250, Augusta, GA 30901-1015 | 2010-09-24 |
| 1588829055 | Aaron Michael Hurd | Surgery | 630 13th St, Suite 250, Augusta, GA 30901-1015 | 2008-07-24 |
| 1932303815 | John Thomas Frederick | Surgery | 630 13th St, Suite 250, Augusta, GA 30901-1015 | 2007-06-13 |
| 1942362942 | Peter James Armstrong | Surgery | 630 13th St, Suite 250, Augusta, GA 30901-1015 | 2006-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443346 | Margaret Howard | Physician Assistant | 1120 15th St # Ba8222, Augusta, GA 30912-0004 | 2020-10-02 |
| 1932740529 | Karmen Littlejohn Elsen | Physician Assistant | 1120 15th St Professional Bld 1, Augusta, GA 30912-0004 | 2019-10-04 |
| 1821643313 | Alicia M Sanborn | Physician Assistant | 21 Enterprise Dr, Augusta, ME 04330-7894 | 2019-08-02 |
| 1750856332 | Annie Ruth Dennis-king | Physician Assistant | 1120 15th St # Bi-3088, Augusta, GA 30912-0004 | 2018-10-10 |
| 1649745415 | Sara Bailey | Physician Assistant | 3486 Peach Orchard Rd, Augusta, GA 30906-5214 | 2018-10-09 |
| 1386154045 | Anna Louise Walker | Physician Assistant | 1120 15th St Digestive Health Center Ad 2226, Augusta, GA 30912-0001 | 2017-10-09 |
| 1801337779 | Women's Health of Augusta | Physician Assistant | 1303 Dantignac St Ste 2500, Augusta, GA 30901-2792 | 2017-03-13 |
| 1376090571 | Kacee Camp Morris | Physician Assistant | 1350 Walton Way Fl 2, Augusta, GA 30901-2612 | 2016-09-06 |
| 1366807216 | Ashley Andrews Macdearmid | Physician Assistant | 15 Enterprise Dr Ste 100, Augusta, ME 04330-7998 | 2015-12-19 |
| 1124490255 | John R Martin | Physician Assistant | 3651 Wheeler Rd., Augusta, GA 30909 | 2015-10-28 |
| Find all providers in AUGUSTA | ||||
Please comment or provide details below to improve the information on CHRISTOPHER MICHAEL 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.