JIMMY MOON (NPI# 1992170211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992170211 |
| Entity Type | Individual |
| Full Name | JIMMY MOON |
| Practice Address |
16541 Sweetwater Dr Milton DE 19968-3062 |
| Practice Telephone | 3025000950 |
| Mailing Telephone | 3025000950 |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WH0202X |
Contractor Specialization: Home Modifications |
2015102773 | DE | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629077839 | Jimmy Joe Moon Sr. | Dentist | 2009 John St, Pasadena, TX 77502-3375 | 2005-07-19 |
| Street Address |
16541 SWEETWATER DR |
| City | MILTON |
| State | DE |
| Zip Code | 19968-3062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700389640 | Accessible Solutions LLC | Durable Medical Equipment & Medical Supplies | 16541 Sweetwater Dr, Milton, DE 19968-3062 | 2018-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700337144 | Andreal Beckett | Registered Nurse | 421 S Spinnaker Lane, Milton, DE 19968 | 2016-10-20 |
| 1679648455 | Patricia Hannon | Physician Assistant | 28312 Lewes Georgetown Highway, Cool Spring Office Park, Milton, DE 19968 | 2006-11-21 |
| 1184737751 | Shoreview Medical, Pa | Family Medicine | 28312 Lewes-georgetown Highway, Cool Spring Office Park, Milton, DE 19968 | 2006-08-16 |
| 1376536623 | Elisa M. Montross-lopez | Family Medicine | 630 Mulberry Street, Milton, DE 19968 | 2005-08-23 |
| 1033250493 | Milton Fire Department Inc | Ambulance | 116 Front St, Milton, DE 19968-0000 | 2007-02-09 |
| 1629492376 | William Kobza | Technician/Technologist | 104 Broadkill Rd, Milton, DE 19968-1008 | 2014-02-14 |
| 1720009053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 120 Broadkill Rd, Milton, DE 19968-1008 | 2006-07-22 |
| 1285689786 | Maria V. Haldar | Internal Medicine | 124 Broadkill Rd, Milton, DE 19968-1008 | 2006-05-23 |
| 1588171193 | Ann Lee | Pharmacist | 120 Broadkill Rd, Milton, DE 19968-1008 | 2018-01-04 |
| 1265717086 | Timothy Dillon | Pharmacist | 120 Broadkill Rd, Milton, DE 19968-1008 | 2011-10-12 |
| Find all providers in zip 19968 | ||||
| Taxonomy Code | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821653650 | Clark Contracting Co. Inc. | Contractor | 1511 Grayrock Dr, Wilmington, DE 19803-3906 | 2019-05-07 |
| 1316500325 | Steven Tull I | Contractor | 26111 Green Briar Rd, Seaford, DE 19973-4617 | 2019-04-16 |
| 1467926667 | Leon Joseph Rapuano Jr. | Contractor | 1323 Newport Gap Pike Bldg A, Newport, DE 19804-2845 | 2019-01-22 |
| 1760958771 | Philip Andrew Durney Jr. | Contractor | 1425 N Franklin St, Wilmington, DE 19806-3123 | 2018-10-17 |
| 1891298212 | Chuck Cris Coleman | Contractor | 34130 Burton Farm Rd, Frankford, DE 19945-2951 | 2018-03-12 |
| 1760994529 | Michael Lewis | Contractor | 501 Maple Ct, Dagsboro, DE 19939-9750 | 2017-11-01 |
| 1053852608 | Gregg P Clark | Contractor | 113 Smyrna Ave, Wilmington, DE 19809-1234 | 2017-03-15 |
| 1871911172 | Avenue Medical Construction LLC | Contractor | 243 Quigley Blvd Ste J, New Castle, DE 19720-4191 | 2014-04-03 |
| 1184068330 | Thomas Gerard Bailor | Contractor | 316 Baywinds Court, Dagsboro, DE 19939 | 2013-04-18 |
| 1851573703 | Knights Services | Contractor | 17 Cedar Beach Rd, Milford, DE 19963-4200 | 2007-12-03 |
| Find all providers with the same taxonomy | ||||
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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.