STARK COUNTY FOOT & ANKLE CLINIC (NPI# 1457512949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457512949 |
Entity Type | Organization |
Organization Name | STARK COUNTY FOOT & ANKLE CLINIC |
Practice Address |
4503 Fulton Dr Nw Canton OH 44718-2331 |
Practice Telephone | 3309564857 |
Mailing Telephone | 3309564857 |
Enumeration Date | 2008-06-18 |
Last Update Date | 2013-06-13 |
Authorized Official Name | STEVEN D GROSS (OWNER) |
Authorized Official Telephone | 3308377715 |
Authorized Official Credential | D.P.M. |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023059102 | Stark County Foot & Ankle Clinic | Podiatrist | 323 Marion Ave Nw, Suite 101, Massillon, OH 44646 | 2006-06-09 |
Street Address |
4503 FULTON DR NW |
City | CANTON |
State | OH |
Zip Code | 44718-2331 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598755274 | Steven David Gross | Podiatrist | 4503 Fulton Dr Nw, Canton, OH 44718-2331 | 2005-10-25 |
1982695011 | Thomas Benjamin Arnold | Podiatrist | 4503 Fulton Dr Nw, Canton, OH 44718-2331 | 2005-10-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
Find all providers in zip 44718 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194168195 | Brandon Semma | Podiatrist | 43050 Ford Rd Ste 150, Canton, MI 48187-3359 | 2013-04-10 |
1386976744 | Ohio Foot and Ankle Center, LLC | Podiatrist | 4642 Hills and Dales Rd Nw, Canton, OH 44708-1510 | 2010-02-09 |
1427203413 | Janet H. Baatile-ajrouche | Podiatrist | 8596 N Canton Center Rd, Canton, MI 48187-1310 | 2008-11-18 |
1376616276 | Charles S Yarnevich | Podiatrist | 1548 Fulton Rd Nw, Canton, OH 44703 | 2006-11-16 |
1245271493 | Gary M Greger Dpm Inc | Podiatrist | 6227 Frank Ave Nw, Canton, OH 44720-8439 | 2006-06-09 |
1972576379 | Holcomb's Foot & Leg Clinic of Cumming | Podiatrist | 210 Oakside Lane, Suite B, Canton, GA 30114 | 2006-02-08 |
1598755274 | Steven David Gross | Podiatrist | 4503 Fulton Dr Nw, Canton, OH 44718-2331 | 2005-10-25 |
1598269714 | Dwayne A Lay LLC | Podiatrist | 210 Oakside Ln Ste B, Canton, GA 30114-6417 | 2018-03-21 |
1922527118 | Northeast Ohio Foot and Ankle Specialists LLC | Podiatrist | 128 Wertz Ave Nw Ste A, Canton, OH 44708-4196 | 2017-09-19 |
1689076408 | Ann Arbor Limb Salvage Specialists | Podiatrist | 8596 N Canton Center Rd, Canton, MI 48187-1310 | 2014-09-24 |
Find all providers in CANTON |
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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.