ASHLEY MARIE MOON


Address: 1205 River Ave, 1st Floor, Williamsport, PA 17701-3724
Phone: 5703235991

ASHLEY MARIE MOON (NPI# 1053566687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053566687
Entity Type Individual
Full Name ASHLEY MARIE MOON
Other Name ASHLEY MARIE HOLT
Credential PA-C
Practice Address 1205 River Ave
1st Floor
Williamsport
PA 17701-3724
Mailing Address 7 Dock Hill Rd
Middleburg
PA 17842-8910
Practice Telephone 5703235991
Practice Fax Number 5703236578
Mailing Telephone 5708372123
Mailing Fax Number 5708372185
Enumeration Date 2008-11-24
Last Update Date 2016-01-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
MA053413 PA Physician Assistants & Advanced Practice Nursing Providers

Other Providers ASHLEY MOON

NPI Name Taxonomy Address Enumeration
1245887025 Ashley Moon Technician 1005 Terminal Way, Reno, NV 89502-2120 2019-08-26
1043709595 Ashley Virginia Moon Student in an Organized Health Care Education/Training Program 1215 Lee St, Charlottesville, VA 22908 2018-05-09
1417301722 Ashley Moon Student in an Organized Health Care Education/Training Program 24 Hospital Ave, Danbury, CT 06810-6099 2016-04-22
1063856870 Ashley Rae Moon Counselor 4001 W Dayton St, Mchenry, IL 60050-8377 2013-04-23
1619251451 Ashley A Moon Pharmacist 7501 Olive Blvd, University City, MO 63130-1602 2011-09-28

Office Location

Street Address 1205 RIVER AVE
1ST FLOOR
City WILLIAMSPORT
State PA
Zip Code 17701-3724

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639159825 Mona Pinghua Chang Family Medicine 1205 River Ave, 2nd Floor, Williamsport, PA 17701 2006-01-23
1972080414 Alisha Mickel Coffey Counselor 1205 River Ave, Williamsport, PA 17701-3724 2018-07-27
1922435056 Stacey L Saxon Physician Assistant 1205 River Ave, Williamsport, PA 17701-3724 2013-10-03
1184051294 Lisa Marie Robinholt Physician Assistant 1205 River Ave, 2nd Floor, Williamsport, PA 17701-3724 2013-10-03
1134554751 Kirsten Ellen Bubb Registered Nurse 1205 River Ave, 1st Floor, Williamsport, PA 17701-3724 2013-09-13
1275886673 Laura Elizabeth Richardson Physician Assistant 1205 River Ave, 1st Floor, Williamsport, PA 17701-3724 2012-10-23
1306073051 Steven Brooks Daniels Pinckney Family Medicine 1205 River Ave, 2nd Floor, Williamsport, PA 17701-3724 2009-06-19
1265696801 Elise Kathryn Meckbach Counselor 1205 River Ave, 2nd Floor, Williamsport, PA 17701-3724 2008-07-14
1164607511 Paula Diane Holmes Physician Assistant 1205 River Ave, 2nd Floor, Williamsport, PA 17701-3724 2008-01-04
1831398056 Abbey B Vanderlin Physician Assistant 1205 River Ave, 1st Floor, Williamsport, PA 17701-3724 2007-07-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184267809 Charlene Angella Pitter Nurse Practitioner 170 Warren Ave, Williamsport, PA 17701 2019-10-25
1396395299 Susan E Fetzer Occupational Therapy Assistant Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 2019-09-13
1184280984 Craig Andrew Tuller Student in an Organized Health Care Education/Training Program Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 2019-05-16
1760048045 Michael Harvey Student in an Organized Health Care Education/Training Program 740 High St. Suite 4001, Williamsport, PA 17701 2019-05-13
1275196008 Olivia Fladmark Student in an Organized Health Care Education/Training Program Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 2019-04-17
1528551231 Mark Hampton Chiropractic Inc. Durable Medical Equipment & Medical Supplies 1111 East 3rd Street, Williamsport, PA 17701 2018-06-08
1548710882 Central Pennsylvania Rehabilitation Medicine, Inc Physical Medicine & Rehabilitation 460 River Ave Ste 1, Williamsport, PA 17701 2016-10-11
1376096784 Christine Kessler Physician Assistant One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 2016-08-02
1629440276 Matthew Ray Rebuck Specialist/Technologist 220 N Reach Rd, Williamsport, PA 17701 2015-10-22
1508237223 Neihl Williamson Physician Assistant 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 2015-10-08
Find all providers in zip 17701

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376096784 Christine Kessler Physician Assistant One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 2016-08-02
1669428132 Theresa Anne Tarquinio Physician Assistant 701 Northway Rd, Williamsport, PA 17701-3813 2006-05-26
1336103688 West Branch Neurology Associates, PC Physician Assistant 425 Market Street, First Floor, Williamsport, PA 17701-6345 2006-04-13
1588650857 Kirsten Lynn Eldred Physician Assistant 130 Alexis Dr, Williamsport, PA 17701-9720 2005-09-22
1376052498 Kristi Lee Freezer Physician Assistant 700 High St, Williamsport, PA 17701-3198 2017-09-20
1205379310 Sean Vincent O'brien Physician Assistant 740 High St, Ste 1003, Williamsport, PA 17701-3100 2016-11-21
1629528385 Brian Kramer Jr. Physician Assistant 1201 Grampian Blvd, Suite 1a, Williamsport, PA 17701-1900 2016-10-06
1770953861 Molly Jean Horner Physician Assistant 700 High St, Williamsport, PA 17701-3100 2015-10-01
1396134532 Ashley Imrisek Physician Assistant 700 High St, Williamsport, PA 17701-3198 2015-01-12
1326457623 Megan Elizabeth Colvin Physician Assistant 700 High St, Williamsport, PA 17701-3198 2014-08-12
Find all providers in WILLIAMSPORT

Competitor

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City WILLIAMSPORT
Zip Code 17701

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Dataset Information

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.

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