Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Martin Ryan Moon, M.D.

Surgery Physician in Florence, KY · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174516934

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Registry record

Entity type Individual (Type 1)

Name Dr. Martin Ryan Moon

Credential M.D.

Sex Male

Practice address 4900 Houston Rd, Florence, KY, 41042

Phone (859) 578-5880

Fax (859) 578-5881

Enumeration date Aug 26, 2005

Last updated in NPPES Nov 18, 2021

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 35-070819 (OH) Secondary

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 39444 (KY) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
64108491	Medicaid	KY	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Martin Moon's NPI record?

Cross-check NPI 1174516934 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1174516934 active?

Yes, as of the latest NPPES snapshot, NPI 1174516934 is active (record last updated 2021-11-18).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-11-18.