| Stark Medical Specialties, Inc | |
|
2458 Lincoln Way E Massillon OH 44646-5085 | |
| (330) 837-1111 | |
| (330) 832-1341 |
| Full Name | Stark Medical Specialties, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2458 Lincoln Way E, Massillon, Ohio |
| Authorized Official Name and Position | Paula Hurst (CREDENTIALING) |
| Authorized Official Contact | 3308376109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stark Medical Specialties, Inc 2458 Lincoln Way E Massillon OH 44646-5085 Ph: (330) 837-1111 | Stark Medical Specialties, Inc 2458 Lincoln Way E Massillon OH 44646-5085 Ph: (330) 837-1111 |
| NPI Number | 1477573772 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 01/16/2020 |
| Medicare PECOS PAC ID | 5193702819 |
|---|---|
| Medicare Enrollment ID | O20040701000257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477573772 | NPI | - | NPPES |
| Provider Name | Kerrie Lynn David |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760481469 PECOS PAC ID: 0042289977 Enrollment ID: I20040928000785 |
| Provider Name | Anthony V Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619976313 PECOS PAC ID: 2961466362 Enrollment ID: I20041116000441 |
| Provider Name | Scott Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508862343 PECOS PAC ID: 6709886096 Enrollment ID: I20070111000044 |
| Provider Name | Victoria Mohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578081873 PECOS PAC ID: 4587938642 Enrollment ID: I20170928000530 |
Pediatric And Family Medicine Health Care Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Wales Ave Nw, Suite C & D, Massillon, OH 44646 Phone: 330-837-4467 Fax: 330-837-4688 | |
Medcorp Of Stark County, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Wales Ave Nw, Massillon, OH 44646 Phone: 330-833-8996 Fax: 330-833-6969 | |
Massillon Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 875 8th St Ne, Massillon, OH 44646 Phone: 330-832-8761 Fax: 330-837-6871 | |
Family Practice Associates, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 Wales Avenue, Massillon, OH 44646 Phone: 330-832-3188 Fax: 330-832-9936 | |
Lifecare Family Health And Dental Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 Amherst Rd Ne, Massillon, OH 44646 Phone: 330-454-2000 | |
Lifecare Family Health And Dental Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 820 Amherst Rd Ne, Massillon, OH 44646 Phone: 303-454-2000 Fax: 330-454-6184 | |
Michael Yutzy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3140 Lincoln Way E, Suite 200, Massillon, OH 44646 Phone: 330-837-9554 |