Martin Ryan Moon is a Surgery in Florence, Kentucky. Martin Ryan Moon practices all healthcare services and medical treatments related to Surgery. The NPI Number for Martin Ryan Moon is 1174516934. The last update date is 2021-11-18.
Martin Ryan Moon's current location address is 4900 Houston Rd, Florence, Kentucky. You can contact this provider via phone number 8595785880 and fax number 8595785881. The mailing address for Martin Ryan Moon is 4900 Houston Rd, Florence, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martin Ryan Moon |
|---|---|
| Address | 4900 Houston Rd, Florence, Kentucky |
| Phone Number | 8595785880 |
| Fax Number | 8595785881 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174516934 |
|---|---|
| Provider Enumeration Date | 2005-08-26 |
| Last Updated Date | 2021-11-18 |
Provider Mailing Address Detail
| Address | 4900 Houston Rd |
|---|---|
| City | Florence |
| State | Kentucky (KY) |
| Post Code | 410424824 |
| Phone Number | 8595785880 |
| Fax Number | 8595785881 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 35-070819 |
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Definition: 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; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64108491 | KY | -- |
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What is the unique 10-digit identifier code assigned to Martin Ryan Moon by the Centers for Medicare & Medicaid Services?
The Martin Ryan Moon has been issued the NPI (National Provider Identifier) 1174516934 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Martin Ryan Moon's physical address?
The Martin Ryan Moon is physically located at 4900 Houston Rd, in the city of Florence, KY, with the postal code 410424824.
What is Martin Ryan Moon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Martin Ryan Moon is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.
On what date was the 1174516934 assigned to Martin Ryan Moon?
The Martin Ryan Moon was issued its 1174516934 on 2005-08-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Martin Ryan Moon last refreshed?
The information related to the Martin Ryan Moon, including its address, specialty, and other relevant details, was last updated on 2021-11-18.
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