Deborah Lynne Moritz, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35054857M Issued in OH

Practice address

161 Cline Avenue
Mansfield, OH 44907

Phone

(419) 756-5739

Fax

(419) 756-4968

NPI assigned

Sep 15, 2006

Last updated

May 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Mansfield Dermatology Inc

  • Dermatology Physician
  • Mansfield, OH
  • NPI 1316030521
  Authorized official Same address or phone

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1518063056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 PARK CIR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430356052",
            "telephone_number": "740-549-2596",
            "fax_number": "740-549-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 CLINE AVENUE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44907",
            "telephone_number": "419-756-5739",
            "fax_number": "419-756-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORITZ",
        "first_name": "DEBORAH",
        "middle_name": "LYNNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35054857M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0856720",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "3600681818",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie A Moore
• Taylor Elizabeth Moore
• Shannon Nicole Morabito
• Kimberly Morgan
• Sarah E Morgan, MD
• Michelle Renee Moritz, PMHNP-BC
• Ivy Morris
• Laura Jean Morris
• Veda S Morris
• Zachary Scott Morton, MD

• Dermatology Physician in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.