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

Marita L Moore, MD

Individual provider Family Medicine Physician · NPI 1528157468

Marita L Moore, MD is a Family Practice in Newark, Ohio. Graduated from Loyola University of Chicago, Stritch School of Medicine in 1996, 30 years ago. Practices with Licking Memorial Professional Corporation, a 235-clinician group and accepts Medicare assignment. Licensed in Iowa, Illinois and Ohio.

Years since qualifying
30
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
IA, IL, OH
In the registry since
2006
Specialties on file
3
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

1272 W Main St Ste 206
Newark, OH 43055-2060
Phone: (220) 564-4824
Fax: (220) 564-1896
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35.094506 (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence 36336 (IA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036-098387 (IL)

Record details

NPI number1528157468
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 11, 2006
Last updated in NPPESMarch 18, 2021
Certification dateMarch 18, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Licking Memorial Professional Corporation — 235 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Newark