MR. DAVID MOON (NPI# 1538469465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538469465 |
| Entity Type | Individual |
| Full Name | MR. DAVID MOON |
| Credential | PA-C |
| Practice Address |
9920 Independence Park Dr Ste 100 Henrico VA 23233-1487 |
| Practice Telephone | 8042857420 |
| Practice Fax Number | 8045659053 |
| Mailing Telephone | 8042857420 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2013-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110003412 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821246802 | David Moon | Contractor | 1619 River Dr, Hammond, IN 46324-3342 | 2008-09-03 |
| 1073573093 | David Robert Moon | Radiology | 409 Fulton St, Palo Alto, CA 94301-1326 | 2006-03-24 |
| 1215917042 | David D Moon | Family Medicine | 241 N Buffalo Dr, Bldg. 1, Las Vegas, NV 89145-0373 | 2006-01-18 |
| 1912324104 | David Moon | Radiology | 2 W Fern Ave, Redlands, CA 92373-5916 | 2014-03-25 |
| 1164866414 | David Sung-wook Moon | Psychiatry & Neurology | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2013-04-17 |
| 1417053133 | David W Moon | Family Medicine | 276 N Ron Mcnair Blvd, Lake City, SC 29560-2462 | 2006-09-16 |
| 1710098009 | David Y Moon | Pharmacist | 4646 John R St, Detroit, MI 48201-1916 | 2006-08-31 |
| 1831116847 | David Andrew Moon | Optometrist | 3902 Creekside Loop, Suite 110, Yakima, WA 98902-4876 | 2006-07-16 |
| 1548213812 | David Myungkee Moon | Radiology | 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | 2006-05-18 |
| 1245218627 | David D. Moon | Emergency Medicine | 4567 E. 9th Avenue, Denver, CO 80220-5337 | 2006-01-05 |
| Street Address |
9920 INDEPENDENCE PARK DR STE 100 |
| City | HENRICO |
| State | VA |
| Zip Code | 23233-1487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813720 | David Rothman | Psychologist | 2000 Wilkes Drive, Richomd, VA 23233 | 2020-08-31 |
| 1770193286 | Penelope Kate Eissenberg | Occupational Therapist | Cedarfields, 2300 Cedarfield Parkway, Richmond, VA 23233 | 2020-08-10 |
| 1962038570 | Samantha Montgomery Warren | Nurse Practitioner | 3900 Westerre Parkway, Suite 300 Pmb# 308, Richmond, VA 23233 | 2020-03-15 |
| 1285269696 | Joyce Prayer Medical Transportion LLC | Transportation Broker | 2437 Bidgeview Ln, Henrico, VA 23233 | 2020-03-05 |
| 1821621228 | Marlon Reyes | Private Vehicle | 2500 Pump Rd, Richmond, VA 23233 | 2020-02-13 |
| 1659840924 | Brent Rusnak River Run Dental Greengate | Dentist | 3700 Haydenpark Lane, Medical Office J, Henrico, VA 23233 | 2018-11-16 |
| 1003309808 | Jeffrey Walker | Pharmacist | 3460 Pump Road, Henrico, VA 23233 | 2018-06-07 |
| 1346741667 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100, Richmond, VA 23233 | 2018-02-22 |
| 1215438544 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100a, Richmond, VA 23233 | 2018-02-22 |
| 1295235026 | Zackery Firesheets | Physical Therapy Assistant | 2422 University Park Blvd., Richmond, VA 23233 | 2018-02-19 |
| Find all providers in zip 23233 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981866 | Madison Emily Lloyd | Physician Assistant | 3416 Gayton Meadows Ter, Henrico, VA 23233-6647 | 2020-10-28 |
| 1215564307 | Laura Stade | Physician Assistant | 3400 Haydenpark Ln, Henrico, VA 23233-7867 | 2020-03-26 |
| 1932670163 | Kristina Anderson Davis | Physician Assistant | 2646 Three Willows Ct, Henrico, VA 23294-4026 | 2018-12-16 |
| 1215408448 | Erin Kathleen Ketterman | Physician Assistant | 7607 Forest Ave Ste 220, Henrico, VA 23229-4913 | 2018-12-16 |
| 1033649223 | Lucy Karn | Physician Assistant | 9606 Patterson Ave, Henrico, VA 23229-6027 | 2017-06-19 |
| 1669910857 | Kimberly Danielle Rees | Physician Assistant | 7858 Shrader Rd, Henrico, VA 23294 | 2017-02-07 |
| 1851834238 | Melissa Paschall | Physician Assistant | 9000 Staples Mill Rd, Henrico, VA 23228 | 2016-12-02 |
| 1467903310 | Sherma Francis | Physician Assistant | 7858 Shrader Rd, Henrico, VA 23294 | 2016-10-16 |
| 1508086075 | Deanna Wade Tanner | Physician Assistant | 9920 Independence Park Dr, Suite 100, Henrico, VA 23233-1487 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001529 | Careteam, LLC | Physician Assistant | 1330 Amherst St Ste E, Winchester, VA 22601-3054 | 2020-10-23 |
| 1730788514 | Alaina Nichole Wayland | Physician Assistant | 10180 Portsmouth Rd Apt 1, Manassas, VA 20109-8024 | 2020-10-22 |
| 1467050633 | Timothy Jacob Simpson | Physician Assistant | 113 S Davis Ave Apt 6105, Richmond, VA 23220-5156 | 2020-10-11 |
| 1205433885 | Jackson Laboue | Physician Assistant | 3510 Archer Springs Ter, Richmond, VA 23235-2163 | 2020-10-06 |
| 1639786320 | William Barr | Physician Assistant | 240 Gena Ct, Newport News, VA 23602-6300 | 2020-09-26 |
| 1336755297 | Taylor Jones | Physician Assistant | 583 Fowler St, Marion, VA 24354-2203 | 2020-09-16 |
| 1366058232 | Carah Grace Whichard | Physician Assistant | 18778 Grahams Dr, Abingdon, VA 24211-7096 | 2020-09-16 |
| 1962015750 | Hannah Wallen | Physician Assistant | 8101 Hinson Farm Rd Ste 501, Alexandria, VA 22306-3403 | 2020-08-31 |
| 1073126215 | Nickolas Patrick Forsberg | Physician Assistant | 11800 Sunrise Valley Dr Fl 8, Reston, VA 20191-5300 | 2020-08-27 |
| 1811509953 | Trenton Todd Thelen | Physician Assistant | 2000 Huntington Ave Apt 1201, Alexandria, VA 22303-1715 | 2020-08-19 |
| Find all providers with the same taxonomy | ||||
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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.