Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Allison J Moosally, MD

Individual provider Dermatology Physician · NPI 1104847334

Dr. Allison J Moosally, MD is a Dermatology in Fairlawn, Ohio. Qualified in 2002, 24 years ago. Practices with Allied Dermatology and Skin Surgery, LLC, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
24
Licensed in
OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3624 W Market St Ste 101
Fairlawn, OH 44333-4510
Phone: (330) 665-0555
Fax: (330) 665-0556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5915 Landerbrook Dr Ste 120, Mayfield Hts, OH 44124-4034 — (216) 382-3806

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 35088136 (OH)
Dermatology Physician Taxonomy 207N00000X · Licence 35088136 (OH)

Record details

NPI number1104847334
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 22, 2006
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address3624 W Market St, Suite 101, Fairlawn, OH 44333-4510

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Allied Dermatology And Skin Surgery, Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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