SOMANG MOON (NPI# 1184011678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184011678 |
| Entity Type | Individual |
| Full Name | SOMANG MOON |
| Other Name | SO MANG MOON |
| Practice Address |
600 Moye Blvd 3310 Health Sciences Building Greenville NC 27834 |
| Mailing Address |
Po Box 751069 Charlotte NC 28275-1069 |
| Practice Telephone | 2527446104 |
| Practice Fax Number | 2527446148 |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 13693 | NC | Speech, Language and Hearing Service Providers |
| N | 231H00000X | Audiologist | 9292723-4101 | UT | Speech, Language and Hearing Service Providers |
| N | 231H00000X | Audiologist | 80566 | TX | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12319 N Mopac Expy Ste 310, Austin, TX 787582643 | 5129738009 |
| Street Address |
600 MOYE BLVD 3310 HEALTH SCIENCES BUILDING |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455600 | Fiona Cook | Internal Medicine | 600 Moye Blvd, Ecu Physicians Endocrinology, Greenville, NC 27834-4300 | 2005-05-23 |
| 1851904999 | Tyler Nigele Edgerton | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-08-28 |
| 1366054272 | Mallory Claire Savidge | Social Worker | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-08-21 |
| 1336759109 | Jessica Veale | Physician Assistant | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-08-05 |
| 1942819990 | Ryan Grabiec | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-07-27 |
| 1215545157 | Rewati Bhattarai | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-07-16 |
| 1629686860 | Amanda Foy | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-07-14 |
| 1477179927 | Rebecca Ann Baietto | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834 | 2020-06-21 |
| 1720604416 | Dylan Joseph Defauw | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-06-18 |
| 1003432790 | Joshua L Mcdaniel | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd, Greenville, NC 27834-4300 | 2020-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1982955217 | Connect Hearing, Inc. | Audiologist | 109 Woodfield Dr Ste 104, Greenville, PA 16125-1267 | 2012-09-26 |
| 1710136213 | Delta Hearing Services | Audiologist | 2359 Highway 1 S, Greenville, MS 38701-8337 | 2008-09-09 |
| 1952570640 | Kristin C. Davis | Audiologist | 4318 E North St, Greenville, SC 29615-2425 | 2008-02-26 |
| 1538378104 | Stephanie L Matlock | Audiologist | 2100 Stantonsburg, Vidant Medical System Audiology, Greenville, NC 27834 | 2007-05-21 |
| 1487871984 | Georganne Victoria Carriere | Audiologist | 1702 E Arlington Blvd, Suite F, Greenville, NC 27858-7843 | 2007-04-19 |
| 1881756781 | Lynda Laura Clark | Audiologist | 331 Mills Ave, Greenville, SC 29605-4021 | 2006-12-15 |
| 1396810792 | Sheila Kutz | Audiologist | 310 S 3rd St, Greenville, IL 62246-1733 | 2006-11-21 |
| 1922019546 | Marianna Walker | Audiologist | Health Sciences Bldg, Room 1310, School of Allied Health Sciences, Greenville, NC 27858-4353 | 2006-08-10 |
| 1538173349 | Robert Stroud Moore | Audiologist | 2359 Hwy 1 South, Greenville, MS 38701 | 2006-07-28 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
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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.