PATRICK S MOON JR. (NPI# 1992276232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992276232 |
| Entity Type | Individual |
| Full Name | PATRICK S MOON JR. |
| Credential | DPT |
| Practice Address |
1 Jarrett White Rd Tripler Army Medical Center HI 96859-5001 |
| Mailing Address |
1114 Punahou St Apt 17b Honolulu HI 96826-2056 |
| Practice Telephone | 8084332485 |
| Mailing Telephone | 8083864725 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2019-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
PT-4702 | HI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169777 | Patrick Moon | Physical Therapist | 420 Northside Dr, Valdosta, GA 31602-1802 | 2019-02-05 |
| 1790198679 | Patrick Moon | Student in an Organized Health Care Education/Training Program | 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2014-06-09 |
| 1699918193 | Patrick Seong Moon | Otolaryngology | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2009-04-14 |
| Street Address |
1 JARRETT WHITE RD |
| City | TRIPLER ARMY MEDICAL CENTER |
| State | HI |
| Zip Code | 96859-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154935732 | Aimee Chon | Pharmacist | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-09-01 |
| 1275146755 | Alan Vazquez | Dentist | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-08-25 |
| 1679181291 | Ben Chu | Military Health Care Provider | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-07-20 |
| 1740808328 | Tho Le | Nurse Anesthetist, Certified Registered | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-07-09 |
| 1609493410 | Julie Klaber | Psychologist | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-06-26 |
| 1770107989 | John Solak | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-06-03 |
| 1588287643 | Maggie E Scribner | Orthopaedic Surgery | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-05-24 |
| 1558983536 | Sara Michelle Allen-dutcher | Registered Nurse | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-05-12 |
| 1235750944 | John Francis Schumacher | Registered Nurse | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-05-04 |
| 1417578451 | Lauren Williams | Student in an Organized Health Care Education/Training Program | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115792 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tripler Medical Center, C-103, Honolulu, HI 96859 | 2020-02-07 |
| 1467726927 | Elton E Bacon | Orthotist | 1 Jarrett White Rd Dept of The Army, Attn: Orthopedic Brace Clinic (mchk-dso-a), Tripler Amc, HI 96859 | 2012-03-01 |
| 1063738813 | Defense Finance & Actg Service | Military Hospital | 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 | 2010-04-19 |
| 1972737153 | Kyong Su Min | Orthopaedic Surgery | 1 Jarrett White Rd Bldg 4f, Tripler Army Medical Center, HI 96859 | 2009-05-04 |
| 1558503854 | Mark Andrew Gerum | Social Worker | Tripler Army Medical Center, 1 Jarrett White Road, Intensive Outpatient Program (iop), Honolulu, HI 96859 | 2009-04-01 |
| 1578720926 | Travis Jaya Mason | Surgery | Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 | 2008-05-21 |
| 1467513168 | Joselyn Cabalo Funtanilla Ponce | Registered Nurse | 1 Jarrett White Rd Bldg 4, Tripler Amc, HI 96859 | 2006-12-13 |
| 1346280195 | Harkirtin Kaur Mciver | Pediatrics | Tripler Army Medical Center Mchk-pe, 1 Jarrett White Road, Honolulu, HI 96859 | 2006-06-08 |
| 1043297740 | Jacqueline Seger | Registered Nurse | Tamc 1 Jarrett-white Rd., 1 Jarrett-white Rd. / Mchk-dsc, Honolulu, HI 96859 | 2005-12-23 |
| 1982694683 | Peter Marlin | Psychiatry & Neurology | Tamc, 1 Jarriet White Road, Honolulu, HI 96859 | 2005-10-24 |
| Find all providers in zip 96859 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457822694 | Iris Guoxuan Li | Physical Therapist | 1236 A Waimanu St, Honolulu, HI 96814-4277 | 2018-12-16 |
| 1215326509 | Holisticare Physical Therapy | Physical Therapist | 400 Keawe St # 416, Honolulu, HI 96813-5199 | 2015-01-09 |
| 1851824486 | Shoreline Physical Therapy | Physical Therapist | 66-150 Kamehameha Hwy, Haleiwa, HI 96712-1440 | 2017-04-11 |
| 1932648284 | Kalo Physical Therapy Multispeciality Group LLC | Physical Therapist | 75-5597 Palani Rd Ste A1, Kailua Kona, HI 96740-1661 | 2017-02-20 |
| 1427447960 | University of Hawaii | Physical Therapist | 1337 Lower Campus Rd, Room 209, Honolulu, HI 96822-2352 | 2015-01-22 |
| 1932490372 | John Joseph Parziale Jr. | Physical Therapist | 2460 Oka St, Suite 201, Kilauea, HI 96754-5308 | 2011-04-19 |
| 1619147543 | Orthosport Hawaii, LLC | Physical Therapist | 5216 Hao Pl Apt A, Honolulu, HI 96821-1653 | 2008-03-06 |
| City | TRIPLER ARMY MEDICAL CENTER |
| Zip Code | 96859 |
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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.