SUSAN M. MOON (NPI# 1598771610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598771610 |
| Entity Type | Individual |
| Full Name | SUSAN M. MOON |
| Credential | M.D. |
| Practice Address |
3551 Roger Brooke Dr San Antonio TX 78234-6200 |
| Mailing Address |
3551 Roger Brooke Dr San Antonio TX 78234-4504 |
| Practice Telephone | 2102958239 |
| Practice Fax Number | 2102958061 |
| Mailing Telephone | 2102958239 |
| Mailing Fax Number | 2102958061 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2014-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M3330 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NPI | 1598771610 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265620454 | Susan Christine Moon | Physical Therapist | 2169 S 77th East Ave, Tulsa, OK 74129-2417 | 2007-10-12 |
| 1538235999 | Susan Norris Moon | Counselor | 500 S Johnson St, Kahoka, MO 63445-1608 | 2006-11-28 |
| 1063011450 | Susan S Moon | Pharmacist | 2728 E Main St, Springfield, OH 45503-5117 | 2020-10-18 |
| 1497912174 | Susan Marie Moon | Optometrist | 621 E Lake St, Tawas City, MI 48763-9213 | 2008-05-20 |
| 1144317769 | Susan Michele Moon | Counselor | 1481 W 10th St, C1194, Indianapolis, IN 46202-2803 | 2006-10-06 |
| 1982710471 | Susan S Moon | Internal Medicine | 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 | 2006-08-21 |
| Street Address |
3551 ROGER BROOKE DR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78234-6200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649274135 | Craig Mahlon Womeldorph | Internal Medicine | 3551 Roger Brooke Dr, San Antonio Military Medical Center, San Antonio, TX 78234-4504 | 2005-06-13 |
| 1639777139 | Carolina Marcia Delgado | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2020-10-15 |
| 1285232439 | Ngozika Oguamanam | Pharmacist | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2020-10-10 |
| 1528673100 | Sarah Villalpando | Dietitian, Registered | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2020-09-10 |
| 1568070357 | Thomas Gerald Baughan II | Nurse Anesthetist, Certified Registered | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2020-07-17 |
| 1356967186 | Wayne James Blalock | Nurse Anesthetist, Certified Registered | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2020-06-17 |
| 1619591088 | Candace Alexandra Flagg | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2020-06-02 |
| 1396366530 | Kenneth James Johnson | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2020-04-28 |
| 1346879384 | Jacob Loesche | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, Jbsa-fort Sam Houston, San Antonio, TX 78234-4504 | 2020-04-02 |
| 1851927560 | Jarrod Paul Odom | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2020-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295327 | Courtney L Buchmeier | Family Medicine | 16620 San Pedro Ave, San Antonio, TX 78232-2327 | 2020-11-02 |
| 1255938866 | Bart Knight | Family Medicine | 106 Herweck Dr, San Antonio, TX 78213-3329 | 2020-10-06 |
| 1114530565 | Jacob C Reedy | Family Medicine | 525 Richmond Ave, San Antonio, TX 78215-2008 | 2020-08-26 |
| 1750992277 | Premier Tests LLC | Family Medicine | 410 E Wildwood, San Antonio, TX 78212-1758 | 2020-08-10 |
| 1770104457 | Bryanna Bermea Cantu | Family Medicine | 2318 San Pedro Ave Ste 12, San Antonio, TX 78212-1901 | 2020-05-04 |
| 1447886544 | Lets Look At Your Labs LLC | Family Medicine | 1603 Babcock Rd Ste 238-5, San Antonio, TX 78229-4708 | 2020-03-20 |
| 1609414937 | Lonestar Visiting Physicians LLC | Family Medicine | 406 Halliday Ave, San Antonio, TX 78210-4057 | 2019-12-17 |
| 1679126817 | Sarah Heather Martinez | Family Medicine | 15106 Oak Loft St, San Antonio, TX 78232-4617 | 2019-07-17 |
| 1659930634 | Villa Family Clinic, PC | Family Medicine | 2000 Se Loop 410 Ste 127a, San Antonio, TX 78220-4933 | 2019-06-12 |
| 1508327859 | South Texas Family Medicine and Urgent Care Center | Family Medicine | 3526 Galveston Trl, San Antonio, TX 78253-6219 | 2019-03-28 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78234 |
Please comment or provide details below to improve the information on SUSAN M. 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.