Stephen B Mooney, MD

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

35075530M Issued in OH

Practice address

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

Phone

(330) 576-5761

Fax

(330) 974-1617

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drstephenmooney@mooneymd.medentdirect.com

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

• Mooney MD LLC

  • Reproductive Endocrinology Physician
  • Massillon, OH
  • NPI 1073360962
  NPD Authorized official
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1497786727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15687 GREENBOWER ST NE",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446019319",
            "telephone_number": "330-808-6264",
            "fax_number": "330-944-0169"
        },
        {
            "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": "330-576-5761",
            "fax_number": "330-974-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "STEPHEN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "OH",
            "license": "35075530M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Suzanne Moldovan, STNA
• Henry Michael Monroe
• Montag and Ocrainiciuc DDS, LLC
• Thomas J Moomaw, OD
• Mooney MD LLC
• Denver Scott Moore, CDCA
• Latonya Moore
• Sarah Jane Moore, PHARMD
• Daniel Neil Moretta, D.O.
• Bonnie Morris

• Reproductive Endocrinology Physician in Massillon, OH
• Providers in Massillon, OH by specialty
• Reproductive Endocrinology Physician in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.