James Frank Moon, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

17167 Issued in AZ

Practice address

2460 S Parkview Loop Ste 203
Yuma, AZ 85364-5358

Phone

(928) 336-2619

NPI assigned

Sep 9, 2005

Reactivated

Mar 28, 2006

Sex

Male

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

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1487648002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W 24TH ST",
            "address_2": "SUITE A201",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646370",
            "telephone_number": "928-341-1981",
            "fax_number": "928-341-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 S PARKVIEW LOOP STE 203",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853645358",
            "telephone_number": "928-336-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "JAMES",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "deactivation_date": "2006-03-25",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AZ",
            "license": "17167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humberto Montero Sr., D.C.
• Ariana Montes Gonzalez, LAC
• Michael Montiel
• Delia Carmen Montopoli, NP, CNM
• Jose Montoya
• Moonflower Pediatric Therapies, LLC
• Christopher R Moor, PC
• Kelly Moore
• Michall Alan Moore, MED, MED, LAC, NCC
• Nicole Moore, RN

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.