Song Yong Moon, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C0003238 Issued in MD

Practice address

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324

Phone

(443) 643-2000

NPI assigned

Mar 27, 2007

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

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smoon651748@direct.umm.edu

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.

• Emergency Medicine Associates P.a., P.C.

  • Emergency Medicine Physician
  • Falls Church, VA
  • NPI 1134117393

  DC, MD

  Medicare reassignment NPD
• Upper Chesapeake Emergency Medicine Physicians, LLC

  • Emergency Medicine Physician
  • Bel Air, MD
  • NPI 1285854026
  Medicare reassignment
• Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Bel Air, MD
  • NPI 1023869088
  NPD
• Emergency Medicine Associates P.a., P.C.

  • Internal Medicine Physician
  • Culpeper, VA
  • NPI 1881559102
  NPD
• Dresnick Sterling Emergency Physicians of Maryland PA

  • Emergency Medicine Physician
  • Bel Air, MD
  • NPI 1083664908

  Medical

  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1740308501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8908 LEE MANOR DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210437999",
            "telephone_number": "443-545-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UPPER CHESAPEAKE DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144324",
            "telephone_number": "443-643-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "SONG",
        "middle_name": "YONG",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0003238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Louise Mohr, PA-C
• Cynthia Molen, CRNP
• Michelle Montague, PA-C
• Moon Circle Midwifery and Wellness, LLC
• James Peter Moon, LMSW
• Jill Moore, DC
• Shari Moore
• George Thomas Moran Jr.
• Kimberly Lynn Moreland, AGNP-C
• Larissa Morgan, PSY.D.

• Medical Physician Assistant in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.