Amanda T Moon (NPI# 1144541186, PAC ID# 7214156918) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1144541186 |
| PAC ID by PECOS | 7214156918 |
| Professional Enrollment ID | I20161019001864 |
| Full Name | Amanda T Moon |
| Organization Legal Name | DREXEL UNIVERSITY |
| Address |
216 N Broad St 4th Floor Philadelphia PA 19102-1121 |
| Phone Number | 2157625550 |
| Gender | F |
| Medical School | UMDNJ-ROBERT WOOD JOHNSON MEDICAL SCHOOL |
| Graduation Year | 2010 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 5496664740 |
| Number of Group Practice Members | 230 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 216 N Broad St 4th Floor, Philadelphia, PA 19102-1121 | 2157625550 | DREXEL UNIVERSITY |
| 216 N Broad St 4th Floor, Drexel Dermatology, Philadelphia, PA 19102-1121 | 2157625550 | DREXEL UNIVERSITY |
| Organization Legal Name | DREXEL UNIVERSITY |
| Physicians | 217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maanit Kohli | Internal Medicine | Drexel University | 255 S 17th St 3rd Floor, Drexel Internal Medicine, Philadelphia, PA 19103-6231 |
| Aisha N Qazi | Neurology | Drexel University | 219 N Broad St 7th Floor, Drexel Neurology, Philadelphia, PA 19107-1506 |
| Ashley Lynne Parker | Obstetrics/gynecology | Drexel University | 216 N Broad St 1st Floor, Philadelphia, PA 19102-1121 |
| Michael J Mccormack | Hematology/oncology | Drexel University | 230 N Broad St 15th Floor, Drexel Hematology Oncology, Philadelphia, PA 19102-1121 |
| Kristen M Ryczak | Family Medicine | Drexel University | 3401 Market St, 105a, Philadelphia, PA 19104-3315 |
| Azzam Hammad | Pathology | Drexel University | 245 N 15th St, Drexel Pathology, Philadelphia, PA 19102-1101 |
| Kenneth C Lau | Internal Medicine | Drexel University | 2126 Fairmount Ave, Philadelphia, PA 19130-2603 |
| Amanda Z De La Paz | Geriatric Medicine | Drexel University | 10 Shurs Ln, Philadelphia, PA 19127-2123 |
| Amy S Baranoski | Infectious Disease | Drexel University | 219 N Broad St 5th Floor, Drexel Infectious Disease, Philadelphia, PA 19107-1507 |
| Srikala S Ponnuru | Emergency Medicine | Drexel University | 230 N Broad St 7th Floor, Drexel Infectious Disease, Philadelphia, PA 19102-1121 |
| Street Address |
216 N BROAD ST 4TH FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19102-1121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank J Craparo | Obstetrics/gynecology | Drexel University | 216 N Broad St 4th Floor, Drexel Obgyn Center for Genetics and Fetal Medicine, Philadelphia, PA 19102-1121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anita Gupta | Anesthesiology | Tps II of Pa, LLC | Broad and Vine Sts, Philadelphia, PA 19102 |
| Meera M Harhay | Nephrology | Drexel University | 1427 Vine St, Fl 5, Philadelphia, PA 19102-1003 |
| Sandra M. Wolf | Obstetrics/gynecology | Drexel University | 1427 Vine St, Fl 5, Philadelphia, PA 19102-1003 |
| Michael L Podolsky | Obstetrics/gynecology | Drexel University | 1427 Vine St, Fl 5, Philadelphia, PA 19102-1003 |
| Paul J Ambrosini | Psychiatry | Drexel University | 1427 Vine St, Fl 5, Philadelphia, PA 19102-1003 |
| Mary Anne Delaney | Psychiatry | Drexel University | 1427 Vine St, Fl 5, Philadelphia, PA 19102-1003 |
| Shawn K Mattson | Obstetrics/gynecology | Drexel University | 1427 Vine St, Fl 5, Philadelphia, PA 19102-1003 |
| Luis Blasco | Obstetrics/gynecology | Drexel University | 1427 Vine St, Fl 5, Philadelphia, PA 19102-1003 |
| Rosemary A Fitzgerald | Certified Nurse Midwife | Drexel University | 1427 Vine St, Fl 5, Philadelphia, PA 19102-1003 |
| Sara L Allen | Nurse Practitioner | Drexel University | 1427 Vine St, Philadelphia, PA 19102-1031 |
| Find all physicians in zip 19102 | |||
| City | PHILADELPHIA |
| Zip Code | 19102 |
| Specialty | DERMATOLOGY |
| City + Specialty | PHILADELPHIA + DERMATOLOGY |
Please comment or provide details below to improve the information on Amanda T Moon.
| 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.