Thomas J Moon Jr.

M.D. | Pediatric Cardiology | Male

---

Complete Profile:

Thomas J Moon Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Cardiology
Provider Name :	Thomas J Moon Jr.
Credential :	M.D.
Gender :	Male
Sole Proprietor :	Yes

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
Phone Number :	904-202-8550
Fax Number :	904-393-7808

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
NPI Entity Type :	Individual
First Enrolment Date :	20 Apr, 2007
Last Updated On :	11 May, 2023

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
Medicare Enrollment ID :	I20120730000200
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Texas Medical School At San Antonio
Graduation Year :	2005
Accepts Medicare?	Yes. Thomas J Moon Jr. accepts medicare insurance.

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
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
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
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
Phone Number :	904-376-3707

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.