Individual
JI-SUK MOON
Active
Individual
JI-SUK MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102205805
VA
207R00000X
Internal Medicine Physician
0116030466
VA
207R00000X
Internal Medicine Physician
Primary
OS19714
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
OS19714
FL
Other
Enumeration date
06/19/2017
Last updated
01/19/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up