JEONGHUN MOON (NPI# 1437410354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437410354 |
| Entity Type | Individual |
| Full Name | JEONGHUN MOON |
| Other Name | DANIEL MOON |
| Credential | MD |
| Practice Address |
4033 Talbot Rd S Ste 440 Renton WA 98055-5767 |
| Mailing Address |
3600 Lind Ave Sw Suite 100 Attn Credentialing Renton WA 98057-4970 |
| Practice Telephone | 4256903494 |
| Practice Fax Number | 4256909494 |
| Mailing Telephone | 4256902715 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2020-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD60538616 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2046049 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1959 Ne Pacific St Health Sciences Bldg Bb561, Campus Box 356428, Seattle, WA 98195 | 2066859950 | |
| 904 7th Ave, Seattle, WA 981041132 | (206) 860-5580 | 2068605484 |
| Street Address |
4033 TALBOT RD S STE 440 |
| City | RENTON |
| State | WA |
| Zip Code | 98055-5767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437686631 | Amy Sharp | Registered Nurse | 4033 Talbot Rd S Ste 440, Renton, WA 98055-5767 | 2017-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710126909 | Pacific Rheumatology Associates Inc Ps | Internal Medicine | 4300 Talbot Rd S, Suite 101, Renton, WA 98055-6238 | 2009-02-11 |
| 1770740375 | Public Hospital District 1 of King County | Internal Medicine | 27005 168th Pl Se, Ste 301, Renton, WA 98042 | 2008-05-21 |
| 1285846683 | Caner Sakin | Internal Medicine | 4033 Talbot Rd S, Ste 570, Renton, WA 98055-5772 | 2007-05-06 |
| 1134202260 | Andrew James Holman | Internal Medicine | 4300 Talbot Rd S, Suite 101, Renton, WA 98055 | 2006-10-23 |
| 1417990797 | Proliance Surgeons Inc., P.s. | Internal Medicine | 4011 Talbot Rd S, Suite 300, Renton, WA 98055-5773 | 2006-06-14 |
| 1609852789 | Pedro Trujillo | Internal Medicine | 4033 Talbot Rd S, Ste 570, Renton, WA 98055-5772 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356571087 | Christopher C. Wright | Internal Medicine | 105 W 8th Ave Ste 6080, Spokane, WA 99204-2313 | 2009-07-15 |
| 1508094707 | Daniel Jaeung Kim | Internal Medicine | 11311 Bridgeport Way Sw Ste 100, Lakewood, WA 98499-3096 | 2009-06-25 |
| 1962623959 | Wayne J Wallis | Internal Medicine | 2339 Federal Ave E, Seattle, WA 98102-4031 | 2007-05-01 |
| 1639399546 | Robert Lee Johnson | Internal Medicine | 1735 W Sunn Fjord Ln, Apartment I-107, Bremerton, WA 98312-5327 | 2007-04-26 |
| 1093933491 | Western Washington Medical Group, Inc Ps | Internal Medicine | 1330 Rockefeller Ave Ste 330, Everett, WA 98201 | 2007-04-23 |
| 1750433546 | Lisa Vasanth | Internal Medicine | 700 Ne 87th Ave # 330, Vancouver, WA 98664-1913 | 2007-01-18 |
| 1225196215 | John Flint Dickson | Internal Medicine | 714 Bellevue Ave East, #401, Seatlle, WA 98102-5990 | 2006-12-04 |
| 1659445260 | Janice Gupta | Internal Medicine | 515 Minor Avneue, Seattle, WA 98104 | 2006-11-17 |
| 1336218171 | Philip J Mease | Internal Medicine | 1101 Madison St Ste 1000, Seattle, WA 98104-3556 | 2006-11-07 |
| 1982781225 | Immune Disease Treatment Services Pllc | Internal Medicine | 14100 Se 36th St Ste 105, Bellevue, WA 98006-1657 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JEONGHUN MOON.
| 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.