Ronald Lavor Moon, CST/CSFA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

9806 Red Deer St
Las Vegas, NV 89143

Phone

(702) 985-8297

NPI assigned

Apr 23, 2012

Last updated

Jun 22, 2018By the provider in NPPES

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)

Not enrolled

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.

• A Third Hand

  • Surgical Physician Assistant
  • Las Vegas, NV
  • NPI 1487066072
  NPD (past) Authorized official

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1598023954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9806 RED DEER ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891431155",
            "telephone_number": "702-985-8297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9806 RED DEER ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89143",
            "telephone_number": "702-985-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "RONALD",
        "middle_name": "LAVOR",
        "credential": "CST/CSFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celina Moon
• Crystal Moon
• Crystal Moon, PSYD, LMHC, LCPC
• Marilyn Moon
• Rebecca Moon, PHARMD
• Moonbeam Therapy LLC
• Brittni Montana Mooney, M.S.
• Julie Alisha Mooney, PA
• Sheila Ann Mooney
• Moonlight Medical Clinic LLC

• Surgical Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Surgical Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.