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
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 IDNo. of MembersPractice AddressGroup Accepts Medicare
Baptist Specialty Physicians Inc337559731341747 Baptist Clay Dr
Fleming Island, FL - 320038502
Ph: 9042028550
Yes
Baptist Specialty Physicians Inc33755973134841 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 SpecialityPrimaryLicense No.State
2080P0202XPediatrics, Pediatric CardiologyNoDR47006CO
390200000XStudent in an Organized Health Care Education/Training ProgramNo -
2080P0202XPediatrics, Pediatric CardiologyYesME113107FL
Legacy Identifiers:
Other legacy medical identifiers of Thomas J Moon Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
003125542AMEDICAIDGA
005915000MEDICAIDFL
14KY8Other (non-Medicare)FLBCBS
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. Last updated on 08 January, 2024.