STARK RADIATION ONCOLOGY INCORPORATED (NPI# 1003847278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003847278 |
| Entity Type | Organization |
| Organization Name | STARK RADIATION ONCOLOGY INCORPORATED |
| Practice Address |
2600 6th St Sw Canton OH 44710-1702 |
| Mailing Address |
Po Box 80468 Canton OH 44708-0468 |
| Practice Telephone | 3304542210 |
| Practice Fax Number | 3304549397 |
| Mailing Telephone | 3304542210 |
| Mailing Fax Number | 3304549397 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2008-12-08 |
| Authorized Official Name | PHILIP ALAN SCHNEIDER (PRESIDENT) |
| Authorized Official Telephone | 3304542210 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RAILROAD MEDICARE PTAN | CA4626 | 01 |
| OH | 0371628 | 05 |
| Street Address |
2600 6TH ST SW |
| City | CANTON |
| State | OH |
| Zip Code | 44710-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700885142 | Michael W Soehnlen | Radiology | 2600 6th St Sw, Radiology Associates of Canton, Inc., Canton, OH 44710-1702 | 2005-07-19 |
| 1881295475 | Gina Marie Shaffo | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-11-02 |
| 1427659051 | Heidi Lynn Martinez | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-11-02 |
| 1215537907 | Travis Paul Gray | Nurse Anesthetist, Certified Registered | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-30 |
| 1780284430 | Kelly Marie Mason | Nurse Anesthetist, Certified Registered | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-30 |
| 1003414624 | Annie Shelton | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-15 |
| 1982202511 | Sean D Myer | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-15 |
| 1366049215 | Molly Rose Kathleen Davis | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-05 |
| 1578177192 | Vyshnavi Iswaravaka | Student in an Organized Health Care Education/Training Program | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-09-01 |
| 1124638705 | Varun Victor | Student in an Organized Health Care Education/Training Program | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093219024 | Philip Anthony Femano IIi | Student in an Organized Health Care Education/Training Program | Amanda Fouts; Medical Education, 2600 6th St Sw, Canton, Oh 44710, Canton, OH 44710 | 2018-03-23 |
| 1962949883 | Chauntelle Andrews | Nursing Care | 3210 14th St Sw, Canton, OH 44710 | 2017-01-30 |
| 1770032146 | Tammy Lamotte | Registered Nurse | 3302 11th St Sw, Canton, OH 44710 | 2016-09-27 |
| 1861898280 | Heather Nicole Burrier | Registered Nurse | 2823 9th St. Sw, Cedar School, Canton, OH 44710 | 2014-11-12 |
| 1437569688 | Kameika Thomas | Licensed Practical Nurse | 2704 9th St Sw, Canton, OH 44710 | 2014-04-28 |
| 1578836672 | Julie J Marsh | Dietitian, Registered | Aultman Hospital, 2600 Sixth Street Sw, Canton, OH 44710 | 2012-02-21 |
| 1043444649 | Laurie L Hanne | Internal Medicine | 2600 6th St.sw, Canton, OH 44710 | 2009-05-11 |
| 1164664124 | George Papacostas, LLC | General Acute Care Hospital | 2600 6th Street Sw, Aultman Wound Care Center, Canton, OH 44710 | 2009-04-06 |
| 1598904419 | Donna Fall Blackwell | Nurse Practitioner | 2600 6th Street, Canton, OH 44710 | 2009-02-17 |
| 1013012897 | Daniel Wasdahl | Pathology | 2600 6th St, Canton, OH 44710 | 2006-09-14 |
| Find all providers in zip 44710 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184677098 | Peter William Possert | Radiology | 460 Northside Cherokee Blvd Ste T10, Canton, GA 30115-8017 | 2006-05-19 |
| 1932151420 | John A Burnett | Radiology | 3790 Woodleigh Ave Nw, Canton, OH 44718-2259 | 2006-05-16 |
| 1336386945 | Sarah Grabowski | Radiology | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2009-01-20 |
| 1629082722 | Suzan S Cheng | Radiology | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2006-07-27 |
| 1275568974 | Philip Alan Schneider | Radiology | 2600 6th St Sw, Canton, OH 44710-1702 | 2006-07-11 |
| 1992779201 | Laird Ekholm Olson | Radiology | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2006-02-14 |
| 1124010954 | Edward J. Walsh | Radiology | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720486517 | Oncology Hematology Care, Inc. | Radiology | 900 Havemann Rd, Celina, OH 45822-1870 | 2014-12-11 |
| 1548607278 | Michael Jason Bishop | Radiology | 803 W Market St Ste 100, Lima, OH 45805-2796 | 2013-06-04 |
| 1134565120 | Jeremy Brownstein | Radiology | 460 W 10th Ave Fl 2, Columbus, OH 43210-1240 | 2013-05-16 |
| 1942569041 | Matthew Lee Knecht | Radiology | 3525 Pentagon Blvd, Ste 101, Beavercreek, OH 45431-1705 | 2012-05-09 |
| 1083841480 | Giselle T, Bretz | Radiology | 4825 Winding Creek Trl, Dayton, OH 45429-1976 | 2009-06-12 |
| 1275707614 | Thomas Nabhani | Radiology | 330 Glessner Ave, Mansfield, OH 44903-2226 | 2008-04-16 |
| 1518148691 | Ralph Riddall Dobelbower Jr. | Radiology | 1666 River Road, Maumee, OH 43537 | 2007-11-17 |
| 1902007651 | Ryan D. Steinmetz | Radiology | 501 Atrium Dr Ste 100, Middletown, OH 45005-5165 | 2007-05-30 |
| 1386854875 | Andrew B. Freeman | Radiology | 801 Ohio Health Blvd Ste 180, Delaware, OH 43015-7883 | 2007-05-23 |
| 1023143864 | Summa Physicians Inc | Radiology | 3780 Medina Rd Ste 150, Medina, OH 44256-9312 | 2007-02-22 |
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| 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.