Individual
DR. MARTIN RYAN MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4900 HOUSTON RD, FLORENCE, KY 41042-4824
(859) 578-5880
(859) 578-5881
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 578-5800
(589) 578-5881
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35-070819
OH
208600000X
Surgery Physician
Primary
39444
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64108491
—
KY
Enumeration date
08/26/2005
Last updated
11/18/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us