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TIMOTHY W. MOON,DO, PLLC
NPI 1194945410
Family Medicine in Gouverneur, NY

Active since April 27, 2007
77 W BARNEY ST, GOUVERNEUR, NY 13642(315) 287-3285(315) 287-3280 Get Directions Write a Review

NPPES record last updated: November 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy W. Moon,do, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY W. MOON,DO, PLLC (NPI 1194945410) is a healthcare organization registered as a family medicine in Gouverneur, New York and active in the NPI registry since April 2007. The organization lists Timothy W. Moon, President, as its authorized official.

NPPES Registry Identity

NPI1194945410
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTIMOTHY W. MOON,DO, PLLC
Location Address77 W BARNEY STGouverneur, NY 13642-1040
Mailing Address77 W Barney StGouverneur, NY 13642-1040 · (315) 287-3285 · Fax (315) 287-3280
Phone(315) 287-3285
Fax(315) 287-3280
Organization SubpartNo
Authorized OfficialTimothy W. MoonPresident · (315) 486-2987
Enumeration DateApril 27, 2007
Last NPPES UpdateNovember 10, 2011
✔ NPI 1194945410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 224227
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
77 W BARNEY ST, Gouverneur, NY 13642
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Other Identifiers 2

Medicaid02501733NY
Medicare PINBA1189NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GOUVERNEUR HOSPITAL
Medicare Defined Swing Bed Unit
77 W BARNEY ST
GOUVERNEUR, NY 13642
St. Lawrence County (315) 287-1000
.WILLIAM BAERTHLEIN M.D.
Obstetrics & Gynecology
77 W BARNEY ST
GOUVERNEUR, NY 13642
St. Lawrence County (315) 535-9202
DR. EDWARD LEWIS REASON D.O.
Internal Medicine
77 W BARNEY ST
GOUVERNEUR, NY 13642
St. Lawrence County (315) 287-3400
MS. JESSICA M SILBERG LMSW
Social Worker
77 W BARNEY ST
GOUVERNEUR, NY 13642
St. Lawrence County (315) 535-9362
VALERIE M STORIE PT
Physical Therapist
77 W BARNEY ST, GOUVERNEUR HOSPITAL
GOUVERNEUR, NY 13642
St. Lawrence County (315) 535-9317
ALAN J WINNEY P.A.
Physician Assistant
77 W BARNEY ST
GOUVERNEUR, NY 13642
St. Lawrence County (315) 535-9202
GRAYSON ELIZABETH WEST OTR/L
Occupational Therapist
77 W BARNEY ST
GOUVERNEUR, NY 13642
St. Lawrence County (315) 287-1000
BYRON EVANS PA
Physician Assistant
77 W BARNEY ST
GOUVERNEUR, NY 13642
St. Lawrence County (315) 287-4440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy W. Moon,do, PLLC's NPI number?

The NPI number for Timothy W. Moon,do, PLLC is 1194945410. It was assigned to this organization in the NPPES registry on April 27, 2007.

Where is Timothy W. Moon,do, PLLC located?

Timothy W. Moon,do, PLLC is located at 77 W Barney St, Gouverneur, NY 13642. The listed phone number is (315) 287-3285.

What is Timothy W. Moon,do, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Timothy W. Moon,do, PLLC was last updated on November 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.