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HOLLYWOOD MEDICAL CENTER
NPI 1245447465
Family Medicine in Hollywood, MD

Active since May 17, 2007
24435 MERVELL DEAN RD, HOLLYWOOD, MD 20636(301) 373-2116(301) 373-5281 Get Directions Write a Review

NPPES record last updated: March 24, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hollywood Medical Center NPPES

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

HOLLYWOOD MEDICAL CENTER (NPI 1245447465) is a healthcare organization registered as a family medicine in Hollywood, Maryland and active in the NPI registry since May 2007. The organization lists Betty Ann Quade, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1245447465
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameYOUNGSIK MOON, M.D., P.A.
Location Address24435 MERVELL DEAN RDHollywood, MD 20636-2712
Mailing Address24435 Mervell Dean Rd, Po Box 37Hollywood, MD 20636-2712 · (301) 373-2116 · Fax (301) 373-5281
Phone(301) 373-2116
Fax(301) 373-5281
Organization SubpartNo
Authorized OfficialBetty Ann QuadeBusiness Manager · (301) 373-2116
Enumeration DateMay 17, 2007
Last NPPES UpdateMarch 24, 2011
✔ NPI 1245447465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedSurgeryTaxonomy 208600000X · License D09178 (MD)
Also ListedGeneral PracticeTaxonomy 208D00000X · License D09178 (MD)
24435 MERVELL DEAN RD, Hollywood, MD 20636
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Other Names 1

Doing Business AsHollywood Medical Center

Other Identifiers 11

Other5972624Aetna Ppo
Other112048MD · Amerigroup
Other1307DC · Carefirst Bcbs Of Dc
Other145464300Owcp
OtherKQ75MD · Carefirst Bcbs Of Md
OtherDG3783MD · Railraod Medicare
Medicare ID-Type UnspecifiedKQ75MD
Other2120400Cigna
Other1010188Aetna Hmo
Other818489Mamsi
Medicaid531541700MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

LAURA ZILBERMAN NP-C
Nurse Practitioner (Family)
24435 MERVELL DEAN RD
HOLLYWOOD, MD 20636
St. Mary's County (301) 373-2116
YOUNGSIK MOON, M.D., P.A.
Clinic/Center (Ambulatory Surgical)
24435 MERVELL DEAN RD
HOLLYWOOD, MD 20636
St. Mary's County (301) 373-2116
KENNETH TAEHO MOON M.D.
Family Medicine
24435 MERVELL DEAN RD
HOLLYWOOD, MD 20636
St. Mary's County (301) 373-2116

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 Youngsik Moon, M.D., P.A.'s NPI number?

The NPI number for Youngsik Moon, M.D., P.A. is 1245447465. It was assigned to this organization in the NPPES registry on May 17, 2007. The provider is doing business as Hollywood Medical Center.

Where is Youngsik Moon, M.D., P.A. located?

Youngsik Moon, M.D., P.A. is located at 24435 Mervell Dean Rd, Hollywood, MD 20636. The listed phone number is (301) 373-2116.

What is Youngsik Moon, M.D., P.A.'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 Youngsik Moon, M.D., P.A. was last updated on March 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.