MR. ERIC TYSON MOON CRNA NPI 1669891974

NPI Information

  • NPI: 1669891974
  • Provider Name: MR. ERIC TYSON MOON, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 1805 27TH ST
    PORTSMOUTH, OH
    ZIP 45662
  • Phone: (740) 356-8034

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NPI Details

MR. Eric Tyson Moon, CRNA is a nurse anesthetist certified registered in Portsmouth, OH. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. MR. Eric Tyson Moon, CRNA NPI is 1669891974. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1805 27TH ST
PORTSMOUTH, OH
ZIP 45662-640
Phone: (740) 356-8034
Fax: (740) 353-7900

The enumeration date for this NPI number is 4/15/2014 and was last updated on 6/22/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN.312401OHIONo
2163W00000XRegistered NurseRN593747PENNSYLVANIANo
3363L00000XNurse PractitionerARNP9266653FLORIDANo
4367500000XNurse Anesthetist, Certified RegisteredRN593747PENNSYLVANIAYes
5367500000XNurse Anesthetist, Certified Registered101896FLORIDANo

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: 11/21/2025

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