JI-SUK MOON (NPI# 1952831133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952831133 |
| Entity Type | Individual |
| Full Name | JI-SUK MOON |
| Credential | DO |
| Practice Address |
220 Campus Blvd Ste 210 Winchester VA 22601-2889 |
| Practice Telephone | 5405368000 |
| Mailing Telephone | 5405368000 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2020-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0102205805 | VA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 0116030466 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1955 Memorial Dr, Danville, VA 245414712 | 4347992055 | 4347992044 |
| Street Address |
220 CAMPUS BLVD STE 210 |
| City | WINCHESTER |
| State | VA |
| Zip Code | 22601-2889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184288961 | Michael Frederick Ellis | Social Worker | 2913 Pleasant Valley Avenue, Suite 125, Winchester, VA 22601 | 2019-04-26 |
| 1437713542 | Ann Marie Aldrich | Nurse Practitioner | 172 Linden Dr, Winchester, Suite #100, Wincehster, VA 22601 | 2019-04-24 |
| 1023570678 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 3111 Valley Ave., Unit 112c, Creekside Station, Winchester, VA 22601 | 2019-04-03 |
| 1992203574 | Deborah K. Inaba | Clinical Exercise Physiologist | 1410 S Braddock St, Winchester, VA 22601 | 2018-01-29 |
| 1043728272 | Emily Anne Griffin | Registered Nurse | 440 W Jubal Early Dr Ste 240, Winchester, VA 22601 | 2018-01-23 |
| 1114431467 | Alicia Moreno Billy | Social Worker | 817 Cedar Creek Grade, Suite 202, Winchester, VA 22601 | 2017-11-24 |
| 1558800391 | Heather Leach | Counselor | 116 Piccadilly Street, Suite 12, Winchester, VA 22601 | 2017-02-13 |
| 1649718396 | Hunt Country Health Services | Home Health | 31 S Braddock St Ste 106, Winchester, VA 22601 | 2017-02-02 |
| 1568830958 | Megan Mcintyre | Physical Therapist | 3052 Valley Ave Ste 101, Winchester, VA 22601 | 2015-09-02 |
| 1093195299 | Sara Elizabeth Archetti | Speech-Language Pathologist | Frederick County Public Schools, 1415 Amherst Street, Winchester, VA 22601 | 2015-06-02 |
| Find all providers in zip 22601 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586427 | Mc Zaslow LLC | Internal Medicine | 955 Main St Ste 302, Winchester, MA 01890-4303 | 2020-07-28 |
| 1063038487 | Brian Vogel | Internal Medicine | 17a Park Ave, Winchester, MA 01890-2008 | 2020-06-22 |
| 1912422981 | Eko Internal Medicine | Internal Medicine | 2204 Cowan Hwy Ste B, Winchester, TN 37398-2627 | 2017-08-10 |
| 1447603279 | Esilida Sula Karreci | Internal Medicine | 4 Verplast Ave, Winchester, MA 01890-1138 | 2016-07-17 |
| 1548652506 | Honest Medical Solutions, LLC | Internal Medicine | 511 Stonymeade Dr, Winchester, VA 22602-6673 | 2015-02-28 |
| 1801168463 | Reha Pokharel | Internal Medicine | 1867 Amherst St Ste 101, Winchester, VA 22601 | 2012-01-29 |
| 1407085210 | Alfonso Oliva Tan | Internal Medicine | 305 Thora Circle Dr., Winchester, OR 97495 | 2009-07-14 |
| 1518142991 | Adedoyin Akintide | Internal Medicine | 812 Amherst St Ste 201, Winchester, VA 22601-3344 | 2008-01-04 |
| 1578756912 | Ma Belinda Lu | Internal Medicine | 185 Hospital Rd Ste J, Winchester, TN 37398-2404 | 2007-08-20 |
| 1710181490 | Sujay Inampudi | Internal Medicine | 104 Selma Dr., Winchester, VA 22601 | 2007-06-14 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 22601 |
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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.