LISA MOON (NPI# 1801157532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801157532 |
| Entity Type | Individual |
| Full Name | LISA MOON |
| Other Name | LISA MANNEL |
| Credential | MD |
| Practice Address |
920 Sl Young Blvd Oklahoma City OK 73104-5036 |
| Practice Telephone | 4052718470 |
| Mailing Telephone | 4052718470 |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2016-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 29270 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164046769 | Lisa Moon | Registered Nurse | 2584 Maple Ave, Palmyra, NY 14522-9372 | 2020-05-31 |
| 1821440165 | Lisa Moon | Registered Nurse | 13723 Findlay Ave, Apple Valley, MN 55124-8070 | 2016-07-11 |
| 1730589334 | Lisa Moon | Psychologist | 2025 E Main St, Suite 207c, Richmond, VA 23223-7069 | 2014-09-02 |
| 1073877072 | Lisa Moon | Pharmacist | 201 Junction Rd, Madison, WI 53717-2615 | 2012-06-25 |
| 1164728267 | Lisa R Moon | Registered Nurse | 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | 2011-02-07 |
| 1902077951 | Lisa Moon | Social Worker | 515 Holly Street, Mcgehee, AR 71654 | 2008-03-18 |
| 1427112390 | Lisa J Moon | Social Worker | 21 Montauk Ave, New London, CT 06320-4906 | 2006-12-21 |
| 1174592869 | Lisa Elaine Moon | Optometrist | 360 Sierra College Dr, Suite 100, Grass Valley, CA 95945-5088 | 2006-03-15 |
| Street Address |
920 SL YOUNG BLVD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-5036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629047683 | Linda J Salinas | Internal Medicine | 920 Sl Young Blvd, Wp1160, Oklahoma City, OK 73104-5033 | 2006-03-14 |
| 1871944074 | Roohi Katyal | Psychiatry & Neurology | 920 Sl Young Blvd, Oklahoma City, OK 73104-5036 | 2016-06-29 |
| 1790163467 | Jared Preston Higley | Urology | 920 Sl Young Blvd, Wp 3150, Oklahoma City, OK 73104-5036 | 2015-05-13 |
| 1083038418 | Katharine Pentecost | Physician Assistant | 920 Sl Young Blvd, Wp1310, Oklahoma City, OK 73104-5036 | 2014-02-05 |
| 1790125995 | Lisa Beckner | Pediatrics | 920 Sl Young Blvd, Oklahoma City, OK 73104-5036 | 2013-07-02 |
| 1053751263 | Tarandeep Grewal | Psychiatry & Neurology | 920 Sl Young Blvd, Oklahoma City, OK 73104-5036 | 2013-07-02 |
| 1659711356 | George Salem | Internal Medicine | 920 Sl Young Blvd, Oklahoma City, OK 73104-5036 | 2013-06-27 |
| 1104262112 | Cullen Mccarthy | Surgery | 920 Sl Young Blvd, Oklahoma City, OK 73104-5036 | 2013-05-16 |
| 1841635307 | Brian Lich | Internal Medicine | 920 Sl Young Blvd, Oklahoma City, OK 73104-5036 | 2013-05-09 |
| 1366887820 | Natalie Kurkjian | Psychiatry & Neurology | 920 Sl Young Blvd, Oklahoma City, OK 73104-5036 | 2013-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144836206 | Saints Medical Group, LLC | Obstetrics & Gynecology | 5604 Se 67th St, Oklahoma City, OK 73135-1719 | 2020-09-23 |
| 1780201467 | Wesley Vaughan Md, Pllc | Obstetrics & Gynecology | 13921 N Meridian Ave Ste 200, Oklahoma City, OK 73134-1104 | 2020-06-29 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1619470184 | Linzi L Stewart, D.o., P.l.l.c. | Obstetrics & Gynecology | 10400 S Western Ave Ste 7, Oklahoma City, OK 73139 | 2018-03-12 |
| 1568917037 | Chris A Lane Do Inc PC | Obstetrics & Gynecology | 4505 Blackberry Run, Oklahoma City, OK 73112-6157 | 2016-08-24 |
| 1710320627 | Hugh Christopher Gardner Nadeau | Obstetrics & Gynecology | 800 Stanton L Young Blvd # 2475, Oklahoma City, OK 73104-5018 | 2013-04-10 |
| 1649613688 | Katherine Ann Smith | Obstetrics & Gynecology | 825 Ne 10th St # 5d, Oklahoma City, OK 73104-5417 | 2013-04-09 |
| 1356602080 | Marta Maxted | Obstetrics & Gynecology | 800 Sl Young Blvd, Aat 2475, Oklahoma City, OK 73104 | 2012-05-29 |
| 1104190479 | Philip J Maguire | Obstetrics & Gynecology | 1124 Nw 50th St, Oklahoma City, OK 73118-4402 | 2012-03-02 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
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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.