Moosally Medical

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MOOSALLY MEDICAL

Doing business as

Moosally Medical

Practice address

2537 E Market St
Warren, OH 44483-6257

Phone

(330) 460-5514

Fax

(330) 595-4366

NPI assigned

Dec 14, 2022

Organization subpart

Yes

Parent organization

COWFISH INDUSTRIES LLCAs reported in NPPES

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

Authorized official

Name

Dr. Robert Moosally Jr., DONPI 1013993419

Title

Owner/Physician

Phone

(330) 460-5514

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Moosally Medical Doing business as

Electronic endpoints 1

Part of

Moosally Medical

Practitioners 1

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

• Robert T Moosally, DO

  • Family Medicine Physician
  • Warren, OH
  • NPI 1013993419
  NPD Authorized official

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1255043915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8905 SOUTH ST SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842357",
            "telephone_number": "330-402-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2537 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836257",
            "telephone_number": "330-460-5514",
            "fax_number": "330-595-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOOSALLY MEDICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COWFISH INDUSTRIES LLC",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "MOOSALLY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "330-460-5514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374989",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rtmoosally@moosallymedical.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email server",
            "address_1": "2537 E Market St",
            "city": "Warren",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444836257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Moosally Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taren Lynn Moore
• Tiana Moore, MA, QMHS
• Tina Marie Moore, LPN
• Waikeem A Moore, LPN
• Tamara Ann Moorhead
• Robert T Moosally, DO
• John Moretti
• Helen Morgan, CRNA
• James R. Morgenstern, DC
• Juanita Morris

• Primary Care Clinic/Center in Warren, OH
• Providers in Warren, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.