Steven L Moon, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

R4509 Issued in AR

Practice address

2708 S Rife Medical LN Ste 140
Rogers, AR 72758-1455

Phone

(479) 338-3720

NPI assigned

May 4, 2006

Last updated

Sep 20, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Consultants in Neurology

  • Neurology Physician
  • Fayetteville, AR
  • NPI 1861449175
  NPD (past)
• Medical Associates of Northwest Arkansas PA

  dba Consultants in Neurology

  • Neurology Physician
  • Fayetteville, AR
  • NPI 1487604773
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1447208590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 S RIFE MEDICAL LN STE 140",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581455",
            "telephone_number": "479-338-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 S RIFE MEDICAL LN STE 140",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581455",
            "telephone_number": "479-338-3720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1794 E JOYCE BLVD",
            "address_2": "SUITE #3",
            "address_purpose": "LOCATION",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72703",
            "country_code": "US",
            "telephone_number": "479-442-4070 x28",
            "fax_number": "479-442-9341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOON",
        "first_name": "STEVEN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AR",
            "license": "R4509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123657001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reginald Alvin Monson, D.MIN., LPC
• Ryan Douglas Monson, D.C.
• Susan Dianne Monson, M.ED, LPC, RPT
• Andie Montgomery, RD
• Alejandro Montoya-Beltran, DC
• Kaila J Mooney
• Brody Moore, LPN
• Devin Moore, D.C.
• Jeffrey 'Kent' Moore, D.C.
• Monte Clayton Moore, CRNA

• Neurology Physician in Rogers, AR
• Providers in Rogers, AR by specialty
• Neurology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.