Robert W Moon, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

35053382M Issued in OH

Practice address

730 W Market Street
Lima, OH 45801

Phone

(419) 227-3361

NPI assigned

Aug 4, 2006

Last updated

Jul 8, 2007By 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 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rmoon55634@direct.bsmhealth.org

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.

• Anesthesia Associates of Lima Inc

  • Certified Registered Nurse Anesthetist
  • Lima, OH
  • NPI 1487662300

  Anesthesiology

  Medicare reassignment NPD
• The Endoscopy Center of West Central Ohio, LLC

  • Ambulatory Surgical Clinic/Center
  • Lima, OH
  • NPI 1578745568
  Medicare reassignment NPD
• Buckeye Anesthesia Services & Consultants LLC

  • Anesthesiology Physician
  • Lima, OH
  • NPI 1225079270
  Medicare reassignment
• Consolidated Anesthesiologists Inc

  dba Anesthesia Associates Of Northwest Dayton Inc

  • Anesthesiology Physician
  • Dayton, OH
  • NPI 1952377798
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821006743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71-0776",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432710776",
            "telephone_number": "419-228-1506",
            "fax_number": "419-228-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W MARKET STREET",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "45801",
            "telephone_number": "419-227-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOON",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35053382M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000141853",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0628066",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle L Monfort, MSW, LISW
• Sandra Jean Monfort, LSW
• Zainab Ansari Monk, DO
• Kelly Monroe, LISW
• Melvin Monroe, M.D.
• Ida Mae Mooney, BS
• Timothy Allen Mooney
• Alicia Moor
• Alexandria Moore
• Elizabeth E Moore, NP

• Anesthesiology Physician in Lima, OH
• Providers in Lima, OH by specialty
• Anesthesiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.