Individual provider Active NPI

James H. Mooney, MD

  • Internal Medicine Physician
  • Mansfield, OH
National Provider Identifier
1740292853
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35071217 Issued in OH
Practice address
1456 Park Ave W
Mansfield, OH 44906-2700
Phone
(419) 529-4602
Fax
(419) 529-4664
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35071217 OH Primary

Addresses

Primary practice location

1456 Park Ave W
Mansfield, OH 44906-2700

Mailing address

1456 Park Ave W
Mansfield, OH 44906-2700
Phone (419) 529-4602

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
I20070712000522 OH Practitioner - Internal Medicine 8325148885 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35071217OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomington Medical Services LLC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine Past Accepting new patients
Multicare Health System Past Accepting new patients

Locations

1761 Beall Ave
Wooster, OH 44691
Phone (330) 263-8100

Interoperability endpoints

  • Direct secure messaging: jmooney@samaritanhospital.cernerdirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740292853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 PARK AVE W",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449062700",
            "telephone_number": "419-529-4602",
            "fax_number": "419-529-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 PARK AVE W",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449062700",
            "telephone_number": "419-529-4602",
            "fax_number": "419-529-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "JAMES",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35071217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.