Stacy Moon, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC01119 Issued in PA

Practice address

2605 Nicholson Road
Building 3, Suite 120
Sewickley, PA 15143

Phone

(724) 719-2900

NPI assigned

Feb 2, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greater Pittsburgh Surgical Alliance PC

  • Surgery Physician
  • Sewickley, PA
  • NPI 1740264472
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1265890511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 NICHOLSON RD",
            "address_2": "STE 3120",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151437608",
            "telephone_number": "724-719-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 NICHOLSON ROAD",
            "address_2": "BUILDING 3, SUITE 120",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "15143",
            "telephone_number": "724-719-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "STACY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC01119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianne Marie Miller, MS, CCC-SLP
• Catherine M Mitchell, AUD
• April Monastrial, PT, DPT
• Alana Montgomery, RN
• Deborah J Moon, LCSW
• John I Moraca, M.D.
• Susan Teresa Moran, PA-C
• Jacob Morrison
• Julia Lynn Movra, MS, LPC, NCC
• Amita H Mulherkar, M.D.

• Chiropractor in Sewickley, PA
• Providers in Sewickley, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.