MR. ERIC TYSON MOON CRNA
NPI 1669891974
Nurse Anesthetist, Certified Registered in Portsmouth, OH

NPI Status: Active since April 15, 2014

Contact Information

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

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  • Individual
  • Male
  • Nurse Anesthetist, Certified Registered

About ERIC MOON

This page provides the complete NPI Profile along with additional information for Eric Moon, a provider established in Portsmouth, Ohio with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1669891974 assigned on April 2014. The practitioner's primary taxonomy code is 367500000X with license number RN593747 (PA). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1669891974
Provider Name
MR. ERIC TYSON MOON CRNA
Gender
Male
Entity Type
Individual
Location Address
1805 27TH ST PORTSMOUTH, OH 45662
Location Phone
(740) 356-8034
Location Fax
(740) 353-7900
Mailing Address
1735 27TH STREET WALLER BLDG SUITE B06 PORTSMOUTH, OH 45662
Mailing Phone
(740) 356-8034
Mailing Fax
(740) 353-7900
Is Sole Proprietor?
No
Enumeration Date
04-15-2014
Last Update Date
06-22-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
RN593747
License State
PA
Taxonomy Description
(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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

RN.312401 (OH)
2163W00000XNursing Service Providers

Registered Nurse

RN593747 (PA)
3363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

ARNP9266653 (FL)
4367500000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Anesthetist, Certified Registered

101896 (FL)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1669891974
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261291692914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 1 + 6 + 9 + 2 + 9 + 1 + 4 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1669891974 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

GEORGE V JOHNSON MD

Radiology

(Diagnostic Radiology)

1805 27TH ST
PORTSMOUTH, OH
ZIP 45662

(740) 354-5000

SOUTHERN OHIO RADIOLOGISTS INC

Radiology

(Diagnostic Radiology)

1805 27TH ST
PORTSMOUTH, OH
ZIP 45662

(740) 354-5000

DR. SAMUEL G. CHRISTOPHER MD

Neuromusculoskeletal Medicine & OMM

1805 27TH ST
PORTSMOUTH, OH
ZIP 45662

(740) 354-5000

TIA M. KING FNP

Nurse Practitioner

(Family)

1805 27TH ST
SOUTHERN OHIO MEDICAL CENTER EMERGENCY DEPARTMENT
PORTSMOUTH, OH
ZIP 45662

(740) 356-5000

ERIC P MACDONALD MD

Anesthesiology

1805 27TH ST
PORTSMOUTH, OH
ZIP 45662

(740) 356-5000

JAIME M PUA MD

Anesthesiology

1805 27TH ST
PORTSMOUTH, OH
ZIP 45662

(740) 356-5000

ASHVIN R ZUMKHAWALA MD

Anesthesiology

1805 27TH ST
PORTSMOUTH, OH
ZIP 45662

(740) 356-5000

DALE ALAN HARRIS MD

Anesthesiology

1805 27TH ST
PORTSMOUTH, OH
ZIP 45662

(740) 356-5000

VICKIE H LEWIS CRNA

Nurse Anesthetist, Certified Registered

1805 27TH ST
PORTSMOUTH, OH
ZIP 45662

(740) 356-5000

KOU-SIN LIU MD

Anesthesiology

1805 27TH ST
PORTSMOUTH, OH
ZIP 45662

(740) 356-5000

THOMAS ROBERT SMITH MD

Anesthesiology

1805 27TH ST
PORTSMOUTH, OH
ZIP 45662

(740) 356-5000

TAKAAKI ONODERA MD

Emergency Medicine

(Emergency Medical Services)

1805 27TH ST
PORTSMOUTH, OH
ZIP 45662

(740) 356-5000

DAVID WILLIAM WILLIS NP

Nurse Practitioner

1805 27TH ST
PORTSMOUTH, OH
ZIP 45662

(740) 356-5000

SUSAN WARNER NP

Nurse Practitioner

1805 27TH ST
PORTSMOUTH, OH
ZIP 45662

(740) 356-5000

ANDREA L JENKINS RD

Dietitian, Registered

1805 27TH ST
PORTSMOUTH, OH
ZIP 45662

(740) 356-8328

HEATHER M JENKINS RD

Dietitian, Registered

1805 27TH ST
PORTSMOUTH, OH
ZIP 45662

(740) 356-8328

NICKI S PAVEY RD

Dietitian, Registered

1805 27TH ST
PORTSMOUTH, OH
ZIP 45662

(740) 356-8328

KAREN R WILLIAMS RD

Dietitian, Registered

1805 27TH ST
PORTSMOUTH, OH
ZIP 45662

(740) 356-8328

CHERIE LYNN SCARBERRY CNP

Nurse Practitioner

1805 27TH ST
PORTSMOUTH, OH
ZIP 45662

(740) 356-5000

SOUTHERN OHIO MEDICAL CENTER

Psychiatric Unit

1805 27TH ST
PORTSMOUTH, OH
ZIP 45662

(740) 353-1105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669891974, enumerated as an "individual" on April 15, 2014.

The provider is located at 1805 27TH ST PORTSMOUTH, OH 45662 and the phone number is (740) 356-8034.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.