Aultman North Canton Medical Group - Medicare Primary Care in North Canton, OH

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Aultman North Canton Medical Group is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in North Canton, Ohio. The current practice location for Aultman North Canton Medical Group is 6046 Whipple Ave Nw, North Canton, Ohio. For appointments, you can reach them via phone at (330) 433-1400. The mailing address for Aultman North Canton Medical Group is 6046 Whipple Ave Nw, North Canton, Ohio and phone number is (330) 433-1400.

Aultman North Canton Medical Group is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1245257088. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (330) 433-1400.

Contact Information

Aultman North Canton Medical Group
6046 Whipple Ave Nw
North Canton
OH 44720-7616
(330) 433-1400
(330) 433-1314

Map and Direction


Primary Care Clinic Profile

Full NameAultman North Canton Medical Group
SpecialityClinic/Center
Location6046 Whipple Ave Nw, North Canton, Ohio
Authorized Official Name and PositionMatthew Stewart (PRESIDENT)
Authorized Official Contact3303634472
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Aultman North Canton Medical Group
6046 Whipple Ave Nw
North Canton
OH 44720-7616

Ph: (330) 433-1400		Aultman North Canton Medical Group
6046 Whipple Ave Nw
North Canton
OH 44720-7616

Ph: (330) 433-1400

NPI Details:

NPI Number1245257088
Provider Enumeration Date07/17/2006
Last Update Date09/29/2021

Medicare PECOS Information:

Medicare PECOS PAC ID4082605266
Medicare Enrollment IDO20040518001528

Medical Identifiers

Medical identifiers for Aultman North Canton Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245257088NPI-NPPES
0220531MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Aultman North Canton Medical Group acts as a billing entity for following providers:
Provider NameSelena Riordan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346299203
PECOS PAC ID: 3971499484
Enrollment ID: I20040223000903
Provider NameLynette M Cugino
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043287501
PECOS PAC ID: 4082653720
Enrollment ID: I20050502000730
Provider NameThomas W Hiland
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306815295
PECOS PAC ID: 5294776530
Enrollment ID: I20050518000023
Provider NameAnthony Marcel Haeufgloeckner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285667782
PECOS PAC ID: 6901841675
Enrollment ID: I20050623000000
Provider NameMatthew Licause
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205890019
PECOS PAC ID: 5597797241
Enrollment ID: I20050902000255
Provider NameJulia Fiorentino
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013963628
PECOS PAC ID: 7214943810
Enrollment ID: I20060306000298
Provider NameJennifer W Krusemark-millin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215952262
PECOS PAC ID: 8921011339
Enrollment ID: I20060801000006
Provider NamePrivi Pauskar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174699540
PECOS PAC ID: 3274532619
Enrollment ID: I20061212000291
Provider NameGinger Bosler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821179482
PECOS PAC ID: 2567461858
Enrollment ID: I20061214000308
Provider NameJoanna Bruno
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255300281
PECOS PAC ID: 0244289379
Enrollment ID: I20070910000293
Provider NameChristopher J Davis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184726820
PECOS PAC ID: 3375637994
Enrollment ID: I20070913000268
Provider NameJennifer M Tarr
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164542122
PECOS PAC ID: 2567551286
Enrollment ID: I20071204000249
Provider NameTina M Hawthorne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871778480
PECOS PAC ID: 1355423542
Enrollment ID: I20080128000020
Provider NameClifford Gary Johnson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538137542
PECOS PAC ID: 1759421308
Enrollment ID: I20100325000574
Provider NameLouis Shaheen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1427027952
PECOS PAC ID: 0446155824
Enrollment ID: I20100709000234
Provider NameSteven Weaver
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1356318604
PECOS PAC ID: 0143352674
Enrollment ID: I20100720000387
Provider NameRadha Podugu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780653634
PECOS PAC ID: 0143265223
Enrollment ID: I20100726000078
Provider NameDaniel W Rodriguez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447228457
PECOS PAC ID: 6507860822
Enrollment ID: I20100727000536
Provider NameKevin K Hill
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063408177
PECOS PAC ID: 1355465253
Enrollment ID: I20100830000579
Provider NameGust Pantelas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184689432
PECOS PAC ID: 9436123312
Enrollment ID: I20100902000655
Provider NameAllison M Oprandi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083663942
PECOS PAC ID: 8022133461
Enrollment ID: I20100909000050
Provider NameHoward M Metzger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558326892
PECOS PAC ID: 4183796915
Enrollment ID: I20100920000642
Provider NameKathy Haupt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720042534
PECOS PAC ID: 6901978733
Enrollment ID: I20101012000467
Provider NameSusan Hake
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558325373
PECOS PAC ID: 5092887828
Enrollment ID: I20101012001434
Provider NameMary L Pavlica
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477642130
PECOS PAC ID: 2567650245
Enrollment ID: I20101222000104
Provider NameAmanda M Millard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891099784
PECOS PAC ID: 3274712112
Enrollment ID: I20110125000796
Provider NameDuane C Kuentz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366531071
PECOS PAC ID: 8022052869
Enrollment ID: I20120126000733
Provider NameRobert James Norman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407168610
PECOS PAC ID: 2860651551
Enrollment ID: I20120315000846
Provider NameHolly L Gibbs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285980656
PECOS PAC ID: 6507014933
Enrollment ID: I20120910000718
Provider NameMarcia Kiesling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497005334
PECOS PAC ID: 5395996821
Enrollment ID: I20121110000012
Provider NameBryan A Lewis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508198094
PECOS PAC ID: 4385873330
Enrollment ID: I20140214001418
Provider NameRichelle Richardson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689941197
PECOS PAC ID: 5294959383
Enrollment ID: I20140611000517
Provider NameTara Catherine Ferguson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881052744
PECOS PAC ID: 8921305863
Enrollment ID: I20160321001901
Provider NameCharles J Dhyanchand
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790861805
PECOS PAC ID: 6406949825
Enrollment ID: I20170504002469
Provider NameShawn C. Richards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104366731
PECOS PAC ID: 4284901224
Enrollment ID: I20170523002974
Provider NameJulie Reese
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609387273
PECOS PAC ID: 4587920673
Enrollment ID: I20171106001799
Provider NameElora M Spino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821500026
PECOS PAC ID: 2860759339
Enrollment ID: I20171208001264
Provider NameSusan Reynolds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144733007
PECOS PAC ID: 6305100470
Enrollment ID: I20180426001597
Provider NameDeanna Gutierrez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578051843
PECOS PAC ID: 4688938376
Enrollment ID: I20180504000963
Provider NameBrandy Stufft
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104304583
PECOS PAC ID: 5294084216
Enrollment ID: I20180823001702
Provider NameAmelia Bitonte
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942696547
PECOS PAC ID: 6305150616
Enrollment ID: I20180926002328
Provider NameMelissa Schnegg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376008912
PECOS PAC ID: 7517200850
Enrollment ID: I20190530000222
Provider NameHannah Eckberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417503921
PECOS PAC ID: 4880923473
Enrollment ID: I20190906001938
Provider NameAdriana Collins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225599566
PECOS PAC ID: 0749510568
Enrollment ID: I20200430001514
Provider NameJamie Lynn Bole
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679191902
PECOS PAC ID: 9335567155
Enrollment ID: I20200910002650
Provider NameNermina Covic
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639606486
PECOS PAC ID: 6002188281
Enrollment ID: I20200911002352
Provider NameJessica Marie Fike
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720583255
PECOS PAC ID: 3476800566
Enrollment ID: I20210803002782
Provider NameAmanda L Foraker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942871736
PECOS PAC ID: 7517361819
Enrollment ID: I20210809003351
Provider NameElizabeth Marie Shaffer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376216549
PECOS PAC ID: 8426447061
Enrollment ID: I20211119001002
Provider NameBrian Krusemark
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659830693
PECOS PAC ID: 6709117542
Enrollment ID: I20220502000686
Provider NameYomna Abu-farsakh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780146365
PECOS PAC ID: 6709260664
Enrollment ID: I20220826002413
Provider NameSamantha Weyandt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174247043
PECOS PAC ID: 8123497583
Enrollment ID: I20221207002522
Provider NameJoseph Devillier
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457857740
PECOS PAC ID: 5193197838
Enrollment ID: I20230207001334
Provider NameNastaran Ahmadi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922625946
PECOS PAC ID: 8224435730
Enrollment ID: I20230816003380
Provider NameLesley A Grady
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386323665
PECOS PAC ID: 4486017688
Enrollment ID: I20230905002693
Provider NameGrace Schneider
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578247391
PECOS PAC ID: 6103280896
Enrollment ID: I20230913003842
Provider NameBrenda R Russell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548899511
PECOS PAC ID: 6002237211
Enrollment ID: I20231004003579
Provider NameOdera Mbanugo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053936443
PECOS PAC ID: 7315369600
Enrollment ID: I20231016001985
Provider NameNeha Dhawan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225654502
PECOS PAC ID: 3476900424
Enrollment ID: I20231113001948

Reviews and Comments


Clinic/Center in North Canton, OH

Dr. Gary J. Guido, Inc.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 5399 Lauby Rd Ste 205, North Canton, OH 44720
Phone: 330-760-2739    
Healthspan Integrated Care
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4914 Portage St Nw, North Canton, OH 44720
Phone: 216-265-8810    Fax: 216-265-8890
Portage Family Practice Clinic, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1413 Portage St Nw, North Canton, OH 44720
Phone: 330-499-7591    Fax: 330-499-0308
Stark County Internal Medicine Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1401 S Main St, Suite 101, North Canton, OH 44720
Phone: 330-497-8636    Fax: 330-497-8634
Care On Demand Network, Inc.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 6975 Promway Ave Nw, Suite C, North Canton, OH 44720
Phone: 305-915-2105    
North Canton Family Physicians Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 133 Wilbur Dr Ne, North Canton, OH 44720
Phone: 330-494-6012    Fax: 330-494-0403

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.