Thomas J Moon Jr.
M.D. | Pediatric Cardiology | Male
Thomas J Moon Jr., M.D. is a Jacksonville, Florida based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Thomas J Moon Jr. is
841 Prudential Dr Ste 280, Jacksonville, Florida - 32207-8350. He can be contacted on phone at
904-202-8550 and fax number 904-393-7808.
Thomas J Moon Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for Thomas J Moon Jr. is
1982821799 which was assigned by NPPES on 20 Apr, 2007 and it was last updated on 11 May, 2023.
Thomas J Moon Jr. license number is
ME113107 for Pediatrics, Pediatric Cardiology (2080P0202X) in Florida.
Thomas J Moon Jr. provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Thomas J Moon Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics, Pediatric Cardiology |
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Provider Name : | Thomas J Moon Jr. |
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Credential : | M.D. |
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Gender : | Male |
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Sole Proprietor : | Yes |
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Business Address:
Thomas J Moon Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 841 Prudential Dr Ste 280 Jacksonville, FL, 32207-8350 United States |
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Phone Number : | 904-202-8550 |
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Fax Number : | 904-393-7808 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1982821799 |
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NPI Entity Type : | Individual |
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First Enrolment Date : | 20 Apr, 2007 |
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Last Updated On : | 11 May, 2023 |
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Medicare Participation:
Thomas J Moon Jr. participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID : | 3476719899 |
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Medicare Enrollment ID : | I20120730000200 |
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Primary Specialty : | Pediatric Medicine |
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Medical School : | University Of Texas Medical School At San Antonio |
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Graduation Year : | 2005 |
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Accepts Medicare? | Yes. Thomas J Moon Jr. accepts medicare insurance. |
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Group Practice Association:
Thomas J Moon Jr. is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Thomas J Moon Jr. is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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Baptist Specialty Physicians Inc | 3375597313 | 4 | 1747 Baptist Clay Dr Fleming Island, FL - 320038502 Ph: 9042028550 | Yes |
Baptist Specialty Physicians Inc | 3375597313 | 4 | 841 Prudential Dr Suite 280 Jacksonville, FL - 322078329 Ph: 9042028550 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Thomas J Moon Jr. are as mentioned. Primary taxonomy code for Thomas J Moon Jr., M.D. is
2080P0202X (Pediatrics, Pediatric Cardiology).
Taxonomy Code | Speciality | Primary | License No. | State |
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2080P0202X | Pediatrics, Pediatric Cardiology | No | DR47006 | CO |
390200000X | Student in an Organized Health Care Education/Training Program | No | | - |
2080P0202X | Pediatrics, Pediatric Cardiology | Yes | ME113107 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Thomas J Moon Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
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003125542A | MEDICAID | GA | |
005915000 | MEDICAID | FL | |
14KY8 | Other (non-Medicare) | FL | BCBS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | Po Box 40767 Jacksonville, FL, 32203-0767 United States |
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Phone Number : | 904-376-3707 |
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Business Location:
Patients can refer following map for directions to
Thomas J Moon Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.