Stephen P Moon (NPI# 1003890997, PAC ID# 3476537531) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1003890997 |
| PAC ID by PECOS | 3476537531 |
| Professional Enrollment ID | I20040616000298 |
| Full Name | Stephen P Moon |
| Organization Legal Name | WILD RIVERS EMERGENCY PHYSICIANS LLC |
| Address |
500 5th St Brookings OR 97415-9702 |
| Phone Number | 5414122000 |
| Gender | M |
| Credential | MD |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3678743960 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 381322 | CURRY GENERAL HOSPITAL |
| 380056 | SANTIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 500 5th St, Brookings, OR 97415-9702 | 5414122000 | WILD RIVERS EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | WILD RIVERS EMERGENCY PHYSICIANS LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hani Darwich | Emergency Medicine | Wild Rivers Emergency Physicians LLC | 94220 4th St, Gold Beach, OR 97444-7756 |
| Michael D Niedens | Emergency Medicine | Wild Rivers Emergency Physicians LLC | 94220 4th St, Gold Beach, OR 97444-7756 |
| Edward H Piepmeier Jr. | Family Medicine | Wild Rivers Emergency Physicians LLC | 94220 4th St, Gold Beach, OR 97444-7756 |
| Jennifer M Bodenhamer | Emergency Medicine | Wild Rivers Emergency Physicians LLC | 500 5th St, Brookings, OR 97415-9702 |
| Judy Alice Hardage | Emergency Medicine | Wild Rivers Emergency Physicians LLC | 500 5th St, Brookings, OR 97415-9702 |
| Sean L Steward | Emergency Medicine | Wild Rivers Emergency Physicians LLC | 500 5th St, Brookings, OR 97415-9702 |
| James P Woods | Emergency Medicine | Wild Rivers Emergency Physicians LLC | 94220 4th St, Gold Beach, OR 97444-7756 |
| Chad Michael Lindroos | Emergency Medicine | Wild Rivers Emergency Physicians LLC | 500 5th St, Brookings, OR 97415-9702 |
| Street Address |
500 5TH ST |
| City | BROOKINGS |
| State | OR |
| Zip | 97415-9702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jack B Lewis | Urology | Curry Health District | 500 5th St, Brookings, OR 97415-9702 |
| Jennifer M Bodenhamer | Emergency Medicine | Wild Rivers Emergency Physicians LLC | 500 5th St, Brookings, OR 97415-9702 |
| Judy Alice Hardage | Emergency Medicine | Wild Rivers Emergency Physicians LLC | 500 5th St, Brookings, OR 97415-9702 |
| Sean L Steward | Emergency Medicine | Wild Rivers Emergency Physicians LLC | 500 5th St, Brookings, OR 97415-9702 |
| Chad Michael Lindroos | Emergency Medicine | Wild Rivers Emergency Physicians LLC | 500 5th St, Brookings, OR 97415-9702 |
| Thomas F Norby | Nurse Practitioner | Southern Oregon Cardiology LLC | 500 5th St, Brookings, OR 97415-9702 |
| Mark H Davis | Urology | Curry Health District | 500 5th St, Brookings, OR 97415-9702 |
| Kenneth Manuele | Family Practice | Curry Health District | 500 5th St, Brookings, OR 97415-9702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Walter S Murphy | Podiatry | 30 Winchuck Rd, Brookings, OR 97415 | |
| Jitendra C Patel | Internal Medicine | 97825 Shopping Ctr Ave, Brookings, OR 97415 | |
| Charles M Bourland | Chiropractic | 524 Spruce St, Suite 5, Brookings, OR 97415-0407 | |
| Ronn Mark Johnson | Psychologist, Clinical | Costa Clinical Psychology, LLC | 625 Spruce St, Suite 7666, Brookings, OR 97415-0408 |
| Jocelyn Gates | Clinical Social Worker | 604 Spruce St, Brookings, OR 97415-0408 | |
| Teresa I Costa | Psychologist, Clinical | Costa Clinical Psychology, LLC | 625 Spruce St, Suite 7666, Brookings, OR 97415-0408 |
| Douglas J Walker | Optometry | Eye Center of Brookings LLC | 937 Chetco Ave, Suite K4005, Brookings, OR 97415-2514 |
| Kristin J Gurholt | Optometry | Eye Center of Brookings LLC | 937 Chetco Ave, Suite K4005, Brookings, OR 97415-2514 |
| Jennifer M Boyle | Nurse Practitioner | 1101 Chetco Ave, Brookings, OR 97415-2515 | |
| William E Mcdougall | Internal Medicine | Oregon Coast Wellness Inc. | 648 Chetco Ave, Brookings, OR 97415-8010 |
| Find all physicians in zip 97415 | |||
| City | BROOKINGS |
| Zip Code | 97415 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | BROOKINGS + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Stephen P Moon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.