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KAREN MOON DPM NPI 1417458357


NPI Information

NPI: 1417458357
Provider Name: KAREN MOON, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Organization: UPPERLINE HEALTHCARE PC

PECOS Registration: Yes

Address:
2701 N DECATUR RD
DECATUR, GA
ZIP 30033
Phone: (404) 501-2499
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Karen Moon, DPM is a podiatrist in Decatur, GA with 8 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Karen Moon, DPM NPI is 1417458357. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduation Year:2016

The provider's business location address is:

2701 N DECATUR RD
DECATUR, GA
ZIP 30033-918
Phone: (404) 501-2499

The NPI 1417458357 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 2/26/2018 and was last updated on 2/26/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristPOD001356GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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