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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
A1200 | MD | Ambulatory Health Care Facilities |
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 Name | Type Code |
---|---|
Hollywood Ambulatory Surgery Center | Doing Business As Name - Organization |
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 |
Street Address |
24435 MERVELL DEAN RD |
City | HOLLYWOOD |
State | MD |
Zip Code | 20636-2712 |
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 |
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 |
Find all providers in zip 20636 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on YOUNGSIK MOON, M.D., P.A..
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.