Individual provider Active NPI

Matthew Winston Moy, MD

  • Sports Medicine (Family Medicine) Physician
  • Wakeman, OH
National Provider Identifier
1194300277
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
35.149040 Issued in OH
Practice address
24 Hyde St
Wakeman, OH 44889-9301
Phone
(440) 839-2226
NPI assigned
Mar 10, 2021
Last updated
Aug 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.149040 OH
Sports Medicine (Family Medicine) Physician 207QS0010X 35.149040 OH Primary

Addresses

Primary practice location

24 Hyde St
Wakeman, OH 44889-9301

Mailing address

11072 Barrington Blvd
Parma Heights, OH 44130-4411
Phone (347) 612-8090

Other practice location 1

280 Benedict Ave Ste A
Norwalk, OH 44857-2374
Phone (419) 668-8110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250909002326 OH Practitioner - Family Practice 6305249376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fisher-Titus Medical Care LLCGroup PAC ID 6507940566, 82 clinicians

Practice addresses (Care Compare)

24 Hyde St
Wakeman, OH 44889-9301
Phone (440) 839-2226

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.149040OHMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fisher-Titus Medical Care LLC Family Medicine CurrentSince Jun 27, 2025 Accepting new patients
Fisher-Titus Medical Center Current Accepting new patients
Wakeman Area Family Care Center Family Medicine Past Accepting new patients

Locations

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 423-5197

280 Benedict Ave
#A
Norwalk, OH 44857
Phone (419) 668-0311

24 Hyde St
Wakeman, OH 44889
Phone (440) 839-0039

24 Hyde St
Ste B
Wakeman, OH 44889
Phone (440) 839-2226

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1194300277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11072 BARRINGTON BLVD",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441304411",
            "telephone_number": "347-612-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HYDE ST",
            "city": "WAKEMAN",
            "state": "OH",
            "postal_code": "448899301",
            "telephone_number": "440-839-2226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Benedict Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "OH",
            "postal_code": "448572374",
            "country_code": "US",
            "telephone_number": "419-668-8110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOY",
        "first_name": "MATTHEW",
        "middle_name": "WINSTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-10",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.149040",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "35.149040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakeman, OH

Sources for this page

Verify at the official NPI Registry.