YOUNGSIK MOON, M.D., P.A.


Address: 24435 Mervell Dean Rd, Hollywood, MD 20636-2712
Phone: 3013732116

YOUNGSIK MOON, M.D., P.A. (NPI# 1831203215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831203215
Entity Type Organization
Organization Name YOUNGSIK MOON, M.D., P.A.
Other Organization Name HOLLYWOOD AMBULATORY SURGERY CENTER
Practice Address 24435 Mervell Dean Rd
Hollywood
MD 20636-2712
Mailing Address Po Box 37
Hollywood
MD 20636-0037
Practice Telephone 3013732116
Practice Fax Number 3013735281
Mailing Telephone 3013732116
Mailing Fax Number 3013735281
Enumeration Date 2006-08-19
Last Update Date 2020-08-22
Authorized Official Name MS. BETTY ANN QUADE (BUSINESS MANAGER)
Authorized Official Telephone 3013732116
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
A1200 MD Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MD CAREFIRST 029J 01
AETNA 5108771 01
MD CAREFIRST 57494301 01
MAMSI 250800 01
FIRST HEALTH/CCN 5607239 01
CIGNA 0008273 01
AMERIGROUP 199904-02 01
DC CAREFIRST PL8 01
AETNA HMO 2134736 01

Other Provider/Organization Names

Other Name Type Code
Hollywood Ambulatory Surgery Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1245447465 Youngsik Moon, M.d., P.a. General Practice 24435 Mervell Dean Rd, Hollywood, MD 20636-2712 2007-05-17

Office Location

Street Address 24435 MERVELL DEAN RD
City HOLLYWOOD
State MD
Zip Code 20636-2712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972591345 Kenneth Taedo Moon Family Medicine 24435 Mervell Dean Rd, Hollywood, MD 20636-2712 2005-10-11
1912360181 Michelle Munson Nurse Practitioner 24435 Mervell Dean Rd, Hollywood, MD 20636-2712 2016-04-04
1821331539 Laura Zilberman Nurse Practitioner 24435 Mervell Dean Rd, Hollywood, MD 20636-2712 2013-04-01
1679710776 Leena Kosandal Family Medicine 24435 Mervell Dean Rd, Hollywood, MD 20636-2712 2009-01-12
1245447465 Youngsik Moon, M.d., P.a. General Practice 24435 Mervell Dean Rd, Hollywood, MD 20636-2712 2007-05-17
1124051099 Kimberly E Cook Nurse Practitioner 24435 Mervell Dean Rd, Hollywood, MD 20636-2712 2006-07-07
1245263193 Youngsik Moon Surgery 24435 Mervell Dean Rd, Hollywood, MD 20636-2712 2006-07-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841708427 Lisa Early Case Manager/Care Coordinator 24077 John Cameron Way, Hollywood, MD 20636 2018-01-17
1326439365 Maryland Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 24288 Three Notch Rd., Hollywood, MD 20636 2015-02-12
1972810612 Kathleen Latona Boyles Pharmacist 24288 Three Notch Road, Hollywood, MD 20636 2010-09-01
1386825271 Vijaya Guduri Internal Medicine 24035 Three Notch Road, Shah Associates Md LLC, Hollywood, MD 20636 2007-11-19
1245397678 St Johns Pharmacy Inc Durable Medical Equipment & Medical Supplies 24288 Three Notch Rd, Hollywood, MD 20636 2007-01-03
1194824755 Julie Wilkening Chiropractor 24351 Mervell Dean Rd #115, Hollywood, MD 20636 2006-09-21
1225134281 Mary Rice Hughes Registered Nurse 44101 Airport View Dr., Hollywood, MD 20636 2006-09-16
1376654194 Suzanne Janis Pelz Counselor 44101 Airport View Drive, Hollywood, MD 20636 2006-08-31
1831406883 Hanna Kristina Dennis Physician Assistant 24035 Three Notch Rd, Hollywood, MD 20636 2010-09-10
1750549010 Iram A Khan Internal Medicine 24035 Three Notch Road, Hollywood, MD 20636 2008-05-22
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568950996 Hollywood Regional Surgery Center LLC Clinic/Center 3475 Sheridan St Ste 104, Hollywood, FL 33021-3640 2018-05-01
1427430099 Hollywood Surgical Center LLC Clinic/Center 1201 N 35th Avenue, Hollywood, FL 33021 2015-06-19
1659517019 Surgery Center of Pembroke Pines, LLC Clinic/Center 7261 Sheridan St, Hollywood, FL 33024-2774 2009-01-06
1730571118 Medstar Medical Group - Southern Maryland LLC Clinic/Center 24035 Three Notch Rd, Hollywood, MD 20636-4871 2015-02-23
1518373695 Hollywood Surgical Center, LLC Clinic/Center 1201 N 35th Ave, Hollywood, FL 33021 2014-07-09
1659790657 Biscayne Plaza Surgery Center, LLC Clinic/Center 3475 Sheridan St, Suite 104, Hollywood, FL 33021-3663 2014-04-08
1871744805 Shah Associates Md LLC Clinic/Center 24035 Three Notch Rd, Hollywood, MD 20636-4871 2008-10-08
1881717627 Shah Associates Md Pa Clinic/Center 24035 Three Notch Rd, Hollywood, MD 20636-4871 2007-04-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942807961 Vascular Surgery Center of Abingdon Clinic/Center 3435 Box Hill Corporate Center Dr Ste H, Abingdon, MD 21009-1204 2020-10-02
1518570084 Eastside Anesthesia LLC Clinic/Center 19 Fontana Ln Ste 104, Rosedale, MD 21237-3027 2020-08-25
1215548524 Summit Ambulatory Surgical Center, LLC Clinic/Center 800 Bestgate Rd Ste 200, Annapolis, MD 21401-3016 2020-08-11
1861001372 Bay Surgery Centers LLC Clinic/Center 810 Bestgate Rd Ste 120, Annapolis, MD 21401-3033 2020-07-30
1417566217 Clearway Surgery Center of Easton, LLC Clinic/Center 598 Cynwood Dr Ste 103, Easton, MD 21601-3875 2020-07-28
1932718822 Charles Regional Surgical Center LLC Clinic/Center 5 North Laplata Court, 2nd Floor, Laplata, MD 20646 2020-07-27
1528680865 Meridian Surgery Center LLC Clinic/Center 19638 Leitersburg Pike Ste 205, Hagerstown, MD 21742-1515 2020-05-09
1346862869 Nspc Surgery Center of Maryland, LLC Clinic/Center 6710 Oxon Hill Rd Ste 550b, Oxon Hill, MD 20745-1117 2020-05-07
1225665292 Annapolis Endoscopy Center LLC Clinic/Center 1419 Forest Dr Ste 105, Annapolis, MD 21403-1474 2020-03-26
1992345748 Podiatry Associates Ambulatory Surgical Centers LLC Clinic/Center 9105 Franklin Square Dr Ste 206, Baltimore, MD 21237-3954 2020-01-09
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Competitor

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City HOLLYWOOD
Zip Code 20636

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Dataset Information

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.

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