| Stark County Internal Medicine Inc | |
|
1401 S Main St Suite 101 North Canton OH 44720-4289 | |
| (330) 497-8636 | |
| (330) 497-8634 |
| Full Name | Stark County Internal Medicine Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1401 S Main St, North Canton, Ohio |
| Authorized Official Name and Position | Julie Lynn Oberly (OWNER) |
| Authorized Official Contact | 3304978636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stark County Internal Medicine Inc 1401 S Main St Suite 101 North Canton OH 44720-4289 Ph: (330) 497-8636 | Stark County Internal Medicine Inc 1401 S Main St Suite 101 North Canton OH 44720-4289 Ph: (330) 497-8636 |
| NPI Number | 1083892525 |
|---|---|
| Provider Enumeration Date | 02/06/2008 |
| Last Update Date | 06/04/2014 |
| Medicare PECOS PAC ID | 4183757024 |
|---|---|
| Medicare Enrollment ID | O20100729000575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083892525 | NPI | - | NPPES |
| 2243594 | Medicaid | OH | |
| SP00931 | Other | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35076929-O (Ohio) | Primary |
| Provider Name | Julie Lynn Oberly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114944600 PECOS PAC ID: 8426181363 Enrollment ID: I20100729000607 |
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 | |
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 | |
Aultman North Canton Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6046 Whipple Ave Nw, North Canton, OH 44720 Phone: 330-433-1400 Fax: 330-433-1314 |