THOMAS J MOON JR. (NPI# 1982821799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982821799 |
| Entity Type | Individual |
| Full Name | THOMAS J MOON JR. |
| Credential | M.D. |
| Practice Address |
841 Prudential Dr Suite 100 Jacksonville FL 32207-8329 |
| Practice Telephone | 9046334120 |
| Practice Fax Number | 9046334111 |
| Mailing Telephone | 9046334120 |
| Mailing Fax Number | 9046334111 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2012-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
ME113107 | FL | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
DR47006 | CO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 005915000 | 05 | |
| FL | BCBS | 14KY8 | 01 |
| GA | 003125542A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255771663 | Thomas Colt Moon | Pharmacist | 8900 Tehama Ridge Pkwy, Fort Worth, TX 76177-2004 | 2013-06-29 |
| 1609938422 | Thomas B Moon | Dentist | 152 Highland St, Rochester, NH 03868 | 2006-12-15 |
| 1295176329 | Thomas Moon | Dentist | 30 E 37th St, New York, NY 10016-3019 | 2013-07-17 |
| 1649328402 | Thomas William Moon | Counselor | 380 Copperfield Blvd Ne, Ne Psychiatric & Psychological Inst, Concord, NC 28025-2402 | 2007-01-08 |
| 1659396836 | Thomas Richard Moon | Marriage & Family Therapist | 879 14th St, San Francisco, CA 94114-1211 | 2006-07-12 |
| 1588601108 | Thomas E Moon | Physician Assistant | 285 E State St, Suite 260, Columbus, OH 43215-4354 | 2006-06-01 |
| Street Address |
841 PRUDENTIAL DR SUITE 100 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32207-8329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962403949 | Katherine Elizabeth Stenberg Curry | Physician Assistant | 841 Prudential Dr, Ufjax - Pediatric Cardiothoracic Surgery, Jacksonville, FL 32207-8329 | 2005-08-02 |
| 1780213157 | Emergency Physicians Inc | Emergency Medicine | 841 Prudential Dr, Jacksonville, FL 32207-8329 | 2020-04-07 |
| 1083176887 | Katherine Margaritis | Dietitian, Registered | 841 Prudential Dr, Jacksonville, FL 32207-8329 | 2019-04-02 |
| 1063971356 | Dillon Oberlin Snyder | Student in an Organized Health Care Education/Training Program | 841 Prudential Dr, Jacksonville, FL 32207-8329 | 2019-03-15 |
| 1295234086 | Shacara Mitchell | Counselor | 841 Prudential Dr, Jacksonville, FL 32207-8329 | 2018-02-07 |
| 1922539444 | Colleen Timmons | Student in an Organized Health Care Education/Training Program | 841 Prudential Dr, Suite 1130, Jacksonville, FL 32207-8329 | 2017-03-26 |
| 1720519713 | Chethan Krishna Rao | Psychiatry & Neurology | 841 Prudential Dr, Suite 1130, Jacksonville, FL 32207-8329 | 2017-03-22 |
| 1578007118 | Nicole Winter | Psychologist | 841 Prudential Dr, Suite 180, Jacksonville, FL 32207-8329 | 2016-12-16 |
| 1912455981 | Meredith Shippey | Nurse Practitioner | 841 Prudential Dr, 10th Floor, Jacksonville, FL 32207 | 2016-09-19 |
| 1205298635 | Natalie Alexis Booth | Student in an Organized Health Care Education/Training Program | 841 Prudential Dr, Suite 1130, Jacksonville, FL 32207-8329 | 2016-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768981 | North Florida Pediatrics, Pa | Pediatrics | 4501 Atlantic Boulevard, Jacksonville, FL 32207 | 2019-09-04 |
| 1578117024 | Pragna Mukesh Dholakia | Nurse Practitioner | 2624 Atlantic Blvd., Jacksonville, FL 32207 | 2019-08-01 |
| 1821653601 | The Adoption Authority, Inc. | Case Management | 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 | 2019-05-07 |
| 1255896080 | Elizabeth Lynn Houghton | Social Worker | Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 | 2019-02-06 |
| 1902374630 | Guilherme Jose Agnoletto | Neurological Surgery | 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 | 2018-11-12 |
| 1073008504 | Pavilion Infusion Therapy Inc | Durable Medical Equipment & Medical Supplies | 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 | 2018-06-27 |
| 1346733185 | Dueseason1 | Registered Nurse | 4058 Saint Augustine Rd, Jacksonville, FL 32207 | 2018-06-06 |
| 1164911913 | Eric Lang Poovey | Nurse Practitioner | Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 | 2018-05-08 |
| 1902311046 | Spring Park Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3851 Emerson St Ste 13, Jacksonville, FL 32207 | 2017-12-12 |
| 1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
| Find all providers in zip 32207 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407226228 | Baptist Specialty Physicians Inc | Pediatrics | 3563 Philips Hwy Ste 101a, Jacksonville, FL 32207-5663 | 2015-10-06 |
| 1356501258 | Paulette Andrea Green Kropf | Pediatrics | 841 Prudential Dr, Suite 100, Jacksonville, FL 32207-8329 | 2008-06-13 |
| 1417121260 | Daniela Liliana Neagu | Pediatrics | 841 Prudential Dr, Suite 100, Jacksonville, FL 32207-8329 | 2008-04-14 |
| 1053511543 | Jason G Ho | Pediatrics | 841 Prudential Dr, Uf Pediatric Cardiovascular Center, Suite 100, Jacksonville, FL 32207-8329 | 2007-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326503442 | Gerold Ludwig Schiebler | Pediatrics | 408 Beachside Pl, Amelia Island, FL 32034-6551 | 2019-02-02 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1124446182 | Kinjal Parikh | Pediatrics | 3100 Sw 62nd Ave Dept of Medical Education, Miami, FL 33155 | 2014-04-06 |
| 1154694016 | Kidz Medical Services | Pediatrics | 5325 Greenwood Ave Ste 202, West Palm Beach, FL 33407-2452 | 2012-02-22 |
| 1932477023 | Samir M. Ebeid | Pediatrics | 2202 State Ave Ste 302, Panama City, FL 32405 | 2011-12-05 |
| 1083927537 | Mch Pediatric Cardiology, LLC | Pediatrics | 12989 Southern Boulevard Palms West, Mob IIi Suite 203, Loxahatchee, FL 33470 | 2010-07-26 |
| 1407023310 | Salvatore Joseph Buonaiuto | Pediatrics | 601 E. Rollins St., Florida Hospital for Children, Orlando, FL 32803 | 2008-05-09 |
| 1801060652 | Sumbal Sattar | Pediatrics | 512 W Cherry St Ste D, Kissimmee, FL 34741-4114 | 2008-04-14 |
| 1871613620 | Carlo M Zeidenweber | Pediatrics | 9980 Central Park Blvd N Ste 318, Boca Raton, FL 33428-1704 | 2007-03-29 |
| 1295874113 | Ramon Rodriguez-torres | Pediatrics | 13911 Sw 103rd Ave, Miami, FL 33176-6614 | 2007-02-06 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32207 |
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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.