Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154376101 Individual Practitioner Female Practitioner

Dr. Renata Milena Stoszek Moon , MD

Pediatrics • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Dr. Renata Moon, MD is a registered healthcare professional specializing in Pediatrics in Spokane, WA. Practice services are available at 322 W NORTH RIVER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

322 W North River Dr

Spokane, WA 992013208

Telephone 5093246464
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
80 Specialists

Practicing in Spokane, WA (1802 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-12-08
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME154557

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License WA MD00043974

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8402687 (WA)
Commercial Insurance / Payer ID Medicare Group
AB32999 (WA)

Secondary Practice Locations

101 W 8th Ave

Spokane, WA 992042307

Phone: 5094742731

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Edward Brow , MD

Family Medicine

NPI 1003963034

Doctor of Medicine (M.D.)

Dr. Timothy Meyer , MD

Family Medicine

NPI 1043363203

Doctor of Medicine (M.D.)

NPI 1053738443

OMSIV

Danielle Riggs , ARNP

Nurse Practitioner - Family

NPI 1063414043

Advanced Registered Nurse Practitioner

NPI 1063568970

Doctor of Optometry

NPI 1073501037

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2022

Pediatrics (License #ME154557 in FL)

📍
Updated Business Mailing Address October 20, 2022

Registered at 6451 N FEDERAL HWY, FORT LAUDERDALE, FL 333081402 (Tel: 8773366077)

📍
Updated Practice Location April 27, 2021

Registered at 322 W NORTH RIVER DR, SPOKANE, WA 992013208 (Tel: 5093246464)

📍
Updated Business Mailing Address April 27, 2021

Registered at 322 W NORTH RIVER DR, SPOKANE, WA 992013208 (Tel: 5093246464)

NPI Profile Active October 31, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 31, 2011

Registered at 101 W 8TH AVE, SPOKANE, WA 992042307 (Tel: 5094742731)

📍
Updated Business Mailing Address October 31, 2011

Registered at 101 W 8TH AVE, SPOKANE, WA 992042307 (Tel: 5094742072)

👤
Provider Name / Credentials Updated October 31, 2011

Recorded as RENATA MOON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2011

Pediatrics (License #MD00043974 in WA)

🟢
Initial NPI Registration & Enumeration May 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154376101
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2006
Last Update: December 08, 2022
Sole Proprietor: No

Mailing Address

6451 N Federal Hwy

Fort Lauderdale, FL 333081402

Phone: 8773366077

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.