JOHN T. MOON MD, PHD – NPI #1558456319
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Health Care Provider Taxonomy Code for Surgery

JOHN MOON is a surgeon located in ASTORIA, OR. NPPES has assigned the NPI number 1558456319 to JOHN MOON on October 04, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name JOHN TAE SUNG MOON. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was last updated on Aug 29, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JOHN MOON below.

NPI Profile for
JOHN T. MOON

NPI Number
1558456319
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN T. MOON
Other Name: JOHN TAE SUNG MOON
Credentials
MD, PHD
Primary location
2055 EXCHANGE ST STE 270
ASTORIA, OR 97103-3419
Phone: (503) 338-4670 Fax:
2 Other location(s):
3660 Park Sierra Dr
Suite 105
Riverside, CA 92505-3081
Phone: (661) 304-8539
Fax: (951) 278-8913
9301 W 74th St Ste 110
Merriam, KS 66204-2207
Phone: (913) 632-9200
Fax: (913) 632-9209
Mailing address
2111 EXCHANGE ST
ASTORIA, OR 97103-3329
Phone: (503) 325-4321 Fax:
Sole Proprietor
No
Updated
Certification Date
Aug 29, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JOHN MOON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNY6603700
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208600000X
- Surgery (Primary)		 KS 0440321

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS - Graduated 1995
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JOHN MOON is affiliated with the following medical group(s):
  • HOSPITAL
    • UNIVERSITY OF MD SHORE MEDICAL CENTER AT EASTON
      219 SOUTH WASHINGTON STREET
      EASTON, MD 21601
    • UNIVERSITY OF MD SHORE MEDICAL CTR AT CHESTERTOWN
      100 BROWN STREET
      CHESTERTOWN, MD 21620
  • HOME HEALTH AGENCY
    • AMEDISYS HOME HEALTH
      6512 DEER POINTE DRIVE, SUITE B
      SALISBURY, MD 21804

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.