Organization Active NPI

Mooney MD LLC

  • Reproductive Endocrinology Physician
  • Massillon, OH
National Provider Identifier
1073360962
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
MOONEY MD LLC
Doing business as
MOONEY MD Center for Reproductive Care
Practice address
2520 Wales Ave NW Ste 220
Massillon, OH 44646-2398
Phone
(330) 778-8778
Fax
(330) 944-0169
NPI assigned
Apr 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Stephen Breck Mooney, MDNPI 1497786727
Title
Staff Physician
Phone
(330) 440-0323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X Primary

Addresses

Primary practice location

2520 Wales Ave NW Ste 220
Massillon, OH 44646-2398

Mailing address

2520 Wales Ave NW Ste 220
Massillon, OH 44646-2398
Phone (330) 576-5761

Other names 1

  • MOONEY MD Center for Reproductive Care Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2312052Mooney MD LLC2520 Wales Avenue NW Suite 220, Massillon, OH 44646Provider-performed microscopyOct 2, 2026

National Provider Directory

National Provider Directory

Locations

2520 Wales Ave NW
Ste 220
Massillon, OH 44646
Phone (330) 576-5761

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1073360962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 WALES AVE NW STE 220",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462398",
            "telephone_number": "330-576-5761",
            "fax_number": "330-974-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 WALES AVE NW STE 220",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462398",
            "telephone_number": "330-778-8778",
            "fax_number": "330-944-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONEY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "BRECK",
        "authorized_official_title_or_position": "STAFF PHYSICIAN",
        "authorized_official_telephone_number": "330-440-0323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOONEY MD Center for Reproductive Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MOONEY MD Center for Reproductive Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.