Active NPI
Christopher S Moon, MD
- Family Medicine Physician
- Ashland, VA
National Provider Identifier
1699700732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101236031
- Practice address
- 100 Medical Dr
Ashland, VA 23005-1125 - Phone
- (804) 798-8307
- Fax
- (804) 798-4204
- NPI assigned
- Jul 11, 2006
- Last updated
- Oct 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101236031 | VA | Primary |
Addresses
Primary practice location
100 Medical Dr
Ashland, VA 23005-1125
Mailing address
100 Medical Dr
Ashland, VA 23005-1125
Phone (804) 798-8307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10290945 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101236031 | VA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193702400000",
"number": "1699700732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MEDICAL DR",
"city": "ASHLAND",
"state": "VA",
"postal_code": "230051125",
"telephone_number": "804-798-8307",
"fax_number": "804-798-4204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL DR",
"city": "ASHLAND",
"state": "VA",
"postal_code": "230051125",
"telephone_number": "804-798-8307",
"fax_number": "804-798-4204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "CHRISTOPHER",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2007-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101236031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10290945",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ashland, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.