Youngsik Moon (NPI# 1245263193, PAC ID# 8224179585) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1245263193 |
| PAC ID by PECOS | 8224179585 |
| Professional Enrollment ID | I20110401000683 |
| Full Name | Youngsik Moon |
| Organization Legal Name | YOUNGSIK MOON, M.D., P.A. |
| Address |
24435 Mervell Dean Rd Hollywood MD 20636-2712 |
| Phone Number | 3013732116 |
| Gender | M |
| Graduation Year | 1960 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | GENERAL PRACTICE |
| Group Practice PAC ID | 5799725552 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210028 | MEDSTAR SAINT MARY'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 24435 Mervell Dean Rd, Hollywood, MD 20636-2712 | 3013732116 | YOUNGSIK MOON, M.D., P.A. |
| Organization Legal Name | YOUNGSIK MOON, M.D., P.A. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Munson | Nurse Practitioner | Youngsik Moon, M.d., P.a. | 24435 Mervell Dean Rd, Hollywood, MD 20636-2712 |
| Street Address |
24435 MERVELL DEAN RD |
| City | HOLLYWOOD |
| State | MD |
| Zip | 20636-2712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth T Moon | Family Practice | 24435 Mervell Dean Rd, Hollywood, MD 20636-2712 | |
| Michelle Munson | Nurse Practitioner | Youngsik Moon, M.d., P.a. | 24435 Mervell Dean Rd, Hollywood, MD 20636-2712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol Marcy | Clinical Psychologist | Carol Marcy, Ph.d., LLC. | 43288 Joy Ln, Hollywood, MD 20636-2608 |
| Pamela M Chaney | Physical Therapy | Chaney Physical Therapy Inc | 26045 Sotterley Heights Rd, Hollywood, MD 20636-2659 |
| Julie Ann Wilkening | Chiropractic | Harbor Bay Clinic of Chiropractic, LLC | 23620 Three Notch Rd, Suite 104, Hollywood, MD 20636-3083 |
| Stacey Dent | Chiropractic | Harbor Bay Clinic of Chiropractic, LLC | 23620 Three Notch Rd, Suite 104, Hollywood, MD 20636-3083 |
| Birgit Locklear | Clinical Social Worker | Pathways Inc | 44101 Airport View Dr, Hollywood, MD 20636-3145 |
| Ann-marie A Anderson | Nurse Practitioner | Pathways Inc | 44101 Airport View Dr, Hollywood, MD 20636-3145 |
| Jasmine Harris | Clinical Social Worker | Pathways Inc | 44101 Airport View Dr, Hollywood, MD 20636-3145 |
| Lisa Y Reichard | Psychiatry | Pathways Inc | 44101 Airport View Dr, Hollywood, MD 20636-3145 |
| Julie Logan | Clinical Social Worker | Pathways Inc | 44101 Airport View Dr, Hollywood, MD 20636-3145 |
| Colleen D Jude | Internal Medicine | 23348 Nicholson St, Hollywood, MD 20636-3287 | |
| Find all physicians in zip 20636 | |||
| City | HOLLYWOOD |
| Zip Code | 20636 |
| Specialty | GENERAL SURGERY |
| City + Specialty | HOLLYWOOD + GENERAL SURGERY |
Please comment or provide details below to improve the information on Youngsik 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.