STARK COUNTY FOOT & ANKLE CLINIC (NPI# 1023059102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023059102 |
| Entity Type | Organization |
| Organization Name | STARK COUNTY FOOT & ANKLE CLINIC |
| Practice Address |
323 Marion Ave Nw Suite 101 Massillon OH 44646 |
| Practice Telephone | 3308377715 |
| Practice Fax Number | 3308377645 |
| Mailing Telephone | 3308377715 |
| Mailing Fax Number | 3308377645 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STACY LYNN DIEHL (INSURANCE CLAIMS PROCESSOR) |
| Authorized Official Telephone | 3308335692 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
OH36002987 | OH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2413650 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457512949 | Stark County Foot & Ankle Clinic | Podiatrist | 4503 Fulton Dr Nw, Canton, OH 44718-2331 | 2008-06-18 |
| Street Address |
323 MARION AVE NW SUITE 101 |
| City | MASSILLON |
| State | OH |
| Zip Code | 44646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871591735 | Seth William Brown | Internal Medicine | 323 Marion Ave Nw, Suite 200, Massillon, OH 44646-3639 | 2005-07-13 |
| 1841760105 | Brittney Cayton | Nurse Practitioner | 323 Marion Ave Nw, Massillon, OH 44646-3639 | 2018-11-29 |
| 1194183343 | Tiffany A Reed | Nurse Practitioner | 323 Marion Ave Nw, Ste 200, Massillon, OH 44646-3639 | 2016-02-03 |
| 1265848535 | Stephanie Ann Devault | Nurse Practitioner | 323 Marion Ave Nw, Massillon, OH 44646-3639 | 2014-07-08 |
| 1710260518 | Karla A Schultz | Nurse Practitioner | 323 Marion Ave Nw, Massillon, OH 44646-3639 | 2011-09-28 |
| 1467733519 | Roxanne N Fish | Nurse Practitioner | 323 Marion Ave Nw, Massillon, OH 44646-3639 | 2011-09-02 |
| 1275764045 | Jennifer A Melegari | Nurse Practitioner | 323 Marion Ave Nw, Suite 200, Massillon, OH 44646-3639 | 2009-07-28 |
| 1356512677 | Stark Medical Specialist 2llc | Clinic/Center | 323 Marion Ave Nw, Massillon, OH 44646-3639 | 2008-03-14 |
| 1023142684 | Rose Marie Campbell | Nurse Practitioner | 323 Marion Ave Nw, Suite 200, Massillon, OH 44646-3639 | 2007-03-15 |
| 1689626814 | Neurology and Neuroscience Associates, Inc. | Internal Medicine | 323 Marion Ave Nw, Suite B100, Massillon, OH 44646-3639 | 2006-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027498 | Tiarra Q Mccole | Home Health Aide | 879 Walnut Rd Se, Massillon, OH 44646 | 2020-09-11 |
| 1083268536 | Jenna Peters | Speech-Language Pathologist | 8036 Daytona St Nw, Massillan, OH 44646 | 2019-08-01 |
| 1063998342 | Erin Lindsay Baters | Nurse Practitioner | 2037 Wales Rd, Suite #110, Massillon, OH 44646 | 2018-07-19 |
| 1275036261 | Sarah Nichols | Licensed Practical Nurse | 1428 David Dodson Drive, Massillon, OH 44646 | 2018-03-15 |
| 1295233054 | Ohio Treatment Center, LLC | Clinic/Center | 2520 Wales Ave. Nw, Suite 100, Massillon, OH 44646 | 2018-01-26 |
| 1861901019 | Mrs Transport Services LLC | Non-emergency Medical Transport (VAN) | 2514 List St Nw, Massillon, OH 44646 | 2017-09-20 |
| 1386162899 | Brandy Marie Townsend | Home Health | 306 2nd St Sw, Massillon, OH 44646 | 2017-09-05 |
| 1861875007 | Josiah Wagler | Student in an Organized Health Care Education/Training Program | 875 Eigth Street Ne, Massillon, OH 44646 | 2015-07-07 |
| 1205215647 | Michelle Avril Burch | Psychologist | 1 Paul E. Brown Drive, Se, Massillon, OH 44646 | 2015-05-19 |
| 1275940371 | Anthony Tedesco | Orthopaedic Surgery | 875 8th St. Ne, Massillon, OH 44646 | 2014-07-21 |
| Find all providers in zip 44646 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255721833 | Ohio Podiatric Physicians and Surgeons Group | Podiatrist | 934 Amherst Rd Ne, Massillon, OH 44646-4568 | 2015-02-03 |
| 1508889130 | Frank G Stoddard | Podiatrist | 830 Amherst Rd Ne, Suite 104, Massillon, OH 44646-8518 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992321228 | Mary Matta | Podiatrist | 425 West Fith Street, East Liverpool, OH 43920 | 2020-06-23 |
| 1063047942 | Jennifer C. Swan, Dpm, LLC | Podiatrist | 155 Commerce Park Dr Ste 7, Westerville, OH 43082-8384 | 2020-03-11 |
| 1518599117 | Howard Waxman | Podiatrist | 35000 Chardon Rd Ste 220, Willoughby Hills, OH 44094-9019 | 2020-02-11 |
| 1346887510 | Performance Foot and Ankle, LLC | Podiatrist | 3727 Friendsville Rd Unit 2, Wooster, OH 44691-7127 | 2019-12-05 |
| 1053971200 | Lauren Digregorio Dpm | Podiatrist | 1502 Lear Industrial Pkwy Ste 1a, Avon, OH 44011-1380 | 2019-06-19 |
| 1477117331 | North Eastern Ohio Podiatry Group LLC | Podiatrist | 4200 Warrensville Center Road, Suite 271, Warrensville Heights, OH 44122-6805 | 2019-04-26 |
| 1336611672 | Anthony G Polito Dpm Inc | Podiatrist | 4071 N Jefferson St, Medina, OH 44256-5622 | 2018-12-27 |
| 1023547957 | Phuoc Bui | Podiatrist | 4260 Glendale Mildford Rd. Ste 103, Blue Ash, OH 45242 | 2017-06-05 |
| 1639606619 | David Mathew Bishop | Podiatrist | 200 East State St, Alliance Community Hospital, Alliance, OH 44601 | 2017-05-22 |
| 1174058630 | Lance Jon Johnson | Podiatrist | 1400 W Main St Bldg 1, Suite A, Bellevue, OH 44811-9429 | 2017-04-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STARK COUNTY FOOT & ANKLE CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.