MOONEY MD LLC NPI 1073360962

NPI Information

  • NPI: 1073360962
  • Provider Name: MOONEY MD LLC
  • Classification: Obstetrics & Gynecology - 207VE0102X
  • Specialization: Reproductive Endocrinology
  • Entity Type: Organization
  • Doing Business As: MOONEY MD CENTER FOR REPRODUCTIVE CARE
  • CLIA Number: 36D2312052
  • Address: 2520 WALES AVE NW STE 220
    MASSILLON, OH
    ZIP 44646
  • Phone: (330) 778-8778

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NPI Details

MOONEY MD LLC is a reproductive endocrinology obstetrics gynecology in Massillon, OH. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. MOONEY MD LLC NPI is 1073360962. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mooney Md Center For Reproductive Care.

The provider's business location address is:

2520 WALES AVE NW STE 220
MASSILLON, OH
ZIP 44646-398
Phone: (330) 778-8778
Fax: (330) 944-0169

The provider's authorized official is Stephen Breck Mooney .
The authorized official title is Staff Physician and has the following contact phone number (330) 440-0323.

The CLIA number assigned to this NPI record is 36D2312052 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/30/2024 and was last updated on 10/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VE0102XObstetrics & GynecologyReproductive EndocrinologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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