Matthew Joseph Moon
Physician Assistant

Address: Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010
Phone: 2028777000

Matthew Joseph Moon (NPI# 1932660362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1932660362
Entity Type Individual
Full Name Matthew Joseph Moon
Credential PA-C
Gender Male
Practice Address Medstar Washington Hospital Center - Sicu
110 Irving Street Nw
Washington
DC 20010
Practice Telephone 2028777000
Mailing Address Medstar Washington Hospital Center - Sicu
110 Irving St. Nw
Washington
DC 20010
Mailing Telephone 2028777000
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2019-03-28
Last Update Date 2019-10-28

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers PA031640 DC

Providers with the same name

NPI Name Taxonomy Address Enumeration
1326578378 Matthew Zeno Moon Marriage & Family Therapist 6838 W Sunset Blvd, Hollywood, CA 90028 2017-06-13
1861929929 Matthew Eugene Moon Nurse Practitioner 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 2017-05-18
1023406816 Matthew Ryan Moon Nurse Anesthetist, Certified Registered 6606 Lbj Fwy Ste 200, Dallas, TX 75240-6524 2014-12-31
1518389329 Matthew Moon Nurse Anesthetist, Certified Registered 690 Canton St, Suite 325, Westwood, MA 02090-2321 2014-01-14
1063702603 Matthew Moon Radiology 601 N Caroline St, Baltimore, MD 21287-0006 2011-04-16

Physician Overview

NPI 1932660362
PAC ID by PECOS 1456783133
Professional Enrollment ID I20191119000242
Full Name Matthew Joseph Moon
Organization Legal Name WASHINGTON HOSPITAL CENTER CORP
Phone Number 2028777000
Gender M
Graduation Year 2019
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 3577476266
Number of Group Practice Members 139
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
090011 MEDSTAR WASHINGTON HOSPITAL CENTER

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487254306 Zane T Mcguire Physician Assistant 378 W Chestnut St Ste 103, Washington, PA 15301-4661 2020-10-29
1609487370 Rachel Alexis Solomon Physician Assistant 1920 L St Nw Ste 350, Washington, DC 20036-5004 2020-08-14
1699399162 Enrique Manriquez Physician Assistant 2413 39th Pl Nw, Washington, DC 20007-1702 2020-06-01
1710510565 Peter Bourland Physician Assistant 130 M St Ne Apt 1113, Washington, DC 20002-7925 2020-02-20
1619517950 Jaclyn Finley Physician Assistant 57103 Curtis St, Washington, MI 48094-3844 2020-01-15
1033770755 Lauren Taylor Parrish Physician Assistant 3800 Reservoir Rd Nw # 2phc, Washington, DC 20007-2113 2019-06-24
1821654617 Connor James Butz Physician Assistant 2311 M St Nw Ste 401, Washington, DC 20037-1495 2019-05-16
1164087482 Lisa Chuong Physician Assistant 110 Irving St Nw # 3b19, Washington, DC 20010-3017 2019-05-02
1942766035 Grace Victoria Spinks Physician Assistant 110 Irving St Nw # 4b42, Washington, DC 20010-3017 2019-02-14
1174006035 Tara Nicole Wilson Physician Assistant 110 Irving Sreet Nw, Room 4b-42, Washington, DC 20010-2975 2018-09-07
Find all providers in WASHINGTON

Office Location

Street Address MEDSTAR WASHINGTON HOSPITAL CENTER - SICU
110 IRVING STREET NW
City WASHINGTON
State DC
Zip Code 20010

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134728397 Blueiris LLC Clinic/Center 3318 Georgia Ave Nw, Unit 13, Washington, DC 20010 2020-10-20
1700425618 Eve Kronzek Audiologist Children's National Hospital, 111 Michigan Ave Nw, Suite 1250, Washington, Dc, DC 20010 2019-12-26
1366085169 Jakeline Xochitl Merino Nurse Practitioner 106 Irving At Nw, Suite 419, Washington Dc, DC 20010 2019-10-24
1710548110 Ebrahim Hasan Khan Student in an Organized Health Care Education/Training Program 110 Irving St Nw Dept of Int Med, Washington, DC 20010 2019-06-26
1316407463 Rabia Idrees Student in an Organized Health Care Education/Training Program 110 Irving St. Nw Dept of Internal Medicine, Washington, DC 20010 2019-03-24
1588124168 Nishita Patel Student in an Organized Health Care Education/Training Program 110 Irving St. Nw Dept of Obstetrics and Gynecology, Washington, DC 20010 2019-03-21
1861958035 Melissa Ann Williams Home Health Aide 3506 Georgia Ave Nw #102, Washington, DC 20010 2019-02-13
1073080602 Jingzhe Gao Registered Nurse Medstar National Rehabilitation Network, 102 Irving Street, Nw, Washington, DC 20010 2018-11-01
1487140737 Anees Musallam Sr. Student in an Organized Health Care Education/Training Program 110 Irving St. Nw Dept of Interventional Cardiology, Washington, DC 20010 2018-07-09
1396241881 Zayn Holt Student in an Organized Health Care Education/Training Program Medstar Washington Hospital Center, 110 Irving St., Nw, Suite G247, Washington, DC 20010 2018-04-03
Find all providers in zip 20010

Competitor

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City WASHINGTON
Zip Code 20010

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Dataset Information

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.