Paul O Moon (NPI# 1689690398, PAC ID# 4789629874) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1689690398 |
| PAC ID by PECOS | 4789629874 |
| Professional Enrollment ID | I20101027001068 |
| Full Name | Paul O Moon |
| Organization Legal Name | MID-COLUMBIA MEDICAL CENTER |
| Address |
1810 E 19th St Suite 225 The Dalles OR 97058-3388 |
| Phone Number | 5412966101 |
| Gender | M |
| Credential | MD |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1987 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 3779487251 |
| Number of Group Practice Members | 78 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380001 | MID-COLUMBIA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1810 E 19th St, Suite 225, The Dalles, OR 97058-3388 | 5412966101 | MID-COLUMBIA MEDICAL CENTER |
| Organization Legal Name | MID-COLUMBIA MEDICAL CENTER |
| Physicians | 83 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carly Anne Jackson | Physician Assistant | Mid-columbia Medical Center | 33 Nichols Pkwy, Hood River, OR 97031-3121 |
| Caitlin K Mccarthy | General Surgery | Mid-columbia Medical Center | 1810 E 19th St, Suite 225, The Dalles, OR 97058-3388 |
| Melinda Cushing Riter | Dermatology | Mid-columbia Medical Center | 2690 May St, Hood River, OR 97031-9786 |
| Nathan F E Ullrich | Urology | Mid-columbia Medical Center | 1805 E 19th St, The Dalles, OR 97058-3365 |
| Paul J Cardosi | Internal Medicine | Mid-columbia Medical Center | 551 Lone Pine Blvd, Suite 302, The Dalles, OR 97058-9404 |
| Robert C Florek | Cardiac Electrophysiology | Mid-columbia Medical Center | 1700 E 19th St, The Dalles, OR 97058-3317 |
| Jennifer Hanlon-wilde | Nurse Practitioner | Mid-columbia Medical Center | 1620 E 12th St, The Dalles, OR 97058-3213 |
| Robert J Alaimo Jr. | Family Medicine | Mid-columbia Medical Center | 1620 E 12th St, The Dalles, OR 97058-3213 |
| Nicole M Pashek | Nurse Practitioner | Mid-columbia Medical Center | 1620 E 12th St, The Dalles, OR 97058-3213 |
| Jason R Morich | Internal Medicine | Mid-columbia Medical Center | 1700 E 19th St, The Dalles, OR 97058-3317 |
| Street Address |
1810 E 19TH ST SUITE 225 |
| City | THE DALLES |
| State | OR |
| Zip | 97058-3388 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caitlin K Mccarthy | General Surgery | Mid-columbia Medical Center | 1810 E 19th St, Suite 225, The Dalles, OR 97058-3388 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary H Zega | Chiropractic | 818 W 6th St, Suite 2, The Dalles, OR 97058-1147 | |
| Byron Akita | Chiropractic | 818 W 6th St, Suite 5, The Dalles, OR 97058-1147 | |
| Sandra E Bartholomew | Clinical Social Worker | 405 W 4th St, The Dalles, OR 97058-1305 | |
| Amy S Marshall | Clinical Social Worker | 403 W, 4th, The Dalles, OR 97058-1305 | |
| Stefanie Joy Lowe | Chiropractic | 100 E 2nd St, The Dalles, OR 97058-1704 | |
| Alexander C Yu | Allergy/immunology | David E Bilstrom Md PC | 101 E 3rd St, The Dalles, OR 97058-1711 |
| David E Bilstrom | Allergy/immunology | David E Bilstrom Md PC | 101 E 3rd St, The Dalles, OR 97058-1711 |
| Wendy L Sheldon | Nurse Practitioner | David E Bilstrom Md PC | 101 E 3rd St, The Dalles, OR 97058-1711 |
| Gregory L Keilman | Chiropractic | 113 E 2nd St, Suite A, The Dalles, OR 97058-1736 | |
| Rebecca K Street | Physical Therapy | 115 W 4th St, The Dalles, OR 97058-1803 | |
| Find all physicians in zip 97058 | |||
| City | THE DALLES |
| Zip Code | 97058 |
| Specialty | GENERAL SURGERY |
| City + Specialty | THE DALLES + GENERAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.