Adam Joseph Moon
Adam Joseph Moon is a Certified Registered Nurse Anesthetist (CRNA) in Mattoon, Illinois. Qualified in 2018, 8 years ago. Practices with Sarah Bush Lincoln Health Center, a 410-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 8
- Licensed in
- IL
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
1000 Health Center DrMattoon, IL 61938-4644
Phone: (217) 258-2440
Fax: (217) 258-2186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 1316435548 (IL) |
|---|---|
| Student Health Clinic/Center | Taxonomy 261QS1000X |
Record details
| NPI number | 1316435548 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 24, 2018 |
| Last updated in NPPES | September 14, 2022 |
| Certification date | September 14, 2022 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Sarah Bush Lincoln Health Center — 410 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |