STARK AMBULATORY SURGERY CENTER, LLC (NPI# 1740260926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740260926 |
| Entity Type | Organization |
| Organization Name | STARK AMBULATORY SURGERY CENTER, LLC |
| Practice Address |
4360 Fulton Dr Nw Suite C Canton OH 44718-2878 |
| Practice Telephone | 3303052020 |
| Practice Fax Number | 3303052020 |
| Mailing Telephone | 3303052020 |
| Mailing Fax Number | 3303052020 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. NABIL FAHMY (PRESIDENT) |
| Authorized Official Telephone | 3303052020 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0750AS | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2533299 | 05 |
| Street Address |
4360 FULTON DR NW SUITE C |
| City | CANTON |
| State | OH |
| Zip Code | 44718-2878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497750822 | Nabil Fahmy | Internal Medicine | 4360 Fulton Dr Nw, Ste B, Canton, OH 44718-2824 | 2005-06-14 |
| 1033649645 | Glaucoma & Eye Specialists LLC | Ophthalmology | 4360 Fulton Dr Nw, Suite A, Canton, OH 44718 | 2017-06-15 |
| 1104149202 | Zuoliang Xiao | Internal Medicine | 4360 Fulton Dr Nw, Suite B, Canton, OH 44718-2878 | 2010-03-04 |
| 1164669065 | Manal H Assaad | Specialist | 4360 Fulton Dr Nw, Suite A, Canton, OH 44718-2878 | 2009-01-14 |
| 1982850368 | Sameh S Kamel | Internal Medicine | 4360 Fulton Dr Nw, Suite B, Canton, OH 44718-2878 | 2008-08-18 |
| 1568661668 | Darin James Vaughn | Physician Assistant | 4360 Fulton Dr Nw, Suite B, Canton, OH 44718-2878 | 2007-07-17 |
| 1518903376 | Diana L Hunter | Clinical Nurse Specialist | 4360 Fulton Dr Nw, Suite B, Canton, OH 44718 | 2006-06-21 |
| 1598729873 | Manal H Assaad | Ophthalmology | 4360 Fulton Dr Nw, Suite A, Canton, OH 44718-2878 | 2006-04-14 |
| 1568442747 | Gastroenterology and Hepatology Specialists, Inc. | Internal Medicine | 4360 Fulton Dr Nw, Suite B, Canton, OH 44718-2878 | 2006-01-23 |
| 1740285048 | Lawrence E Cohen | Internal Medicine | 4360 Fulton Dr Nw, Ste B, Canton, OH 44718-2824 | 2005-06-15 |
| Find all providers in the same location | ||||
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194283267 | Georgia Interventional Pain - E, LLC | Clinic/Center | 100 Liberty Blvd Ste 220, Canton, GA 30114-2852 | 2019-03-07 |
| 1679049647 | Uh Canton Endoscopy LLC | Clinic/Center | 3722 Dressler Rd Nw Ste B, Canton, OH 44718-2700 | 2018-10-17 |
| 1023373628 | Eyes On Stark Surgery Center, LLC | Clinic/Center | 4319 Executive Circle Nw, Canton, OH 44718 | 2012-07-10 |
| 1336143171 | The Surgery Center of Georgia, LLC | Clinic/Center | 220 Hospital Rd, Canton, GA 30114-2407 | 2005-06-09 |
| 1720081870 | Orthopaedic Ambulatory Surgical Intervention Services, LLC | Clinic/Center | 4889 Munson St Nw, Canton, OH 44718-3614 | 2005-05-23 |
| 1386189934 | Gsi Canton LLC | Clinic/Center | 2726 Fulton Dr Nw, Canton, OH 44718-3506 | 2017-01-05 |
| 1225457948 | Ahs Surgery Center Canton LLC | Clinic/Center | 201 Kimberly Way, Suite 100, Canton, GA 30114 | 2014-04-09 |
| 1992122329 | Canton Eye Surgery Center | Clinic/Center | 201 Kimberly Way, Canton, GA 30114 | 2014-03-24 |
| 1952737207 | Cpmsc Canton, LLC | Clinic/Center | 134 Riverstone Terrace, Suite 102, Canton, GA 30114 | 2013-09-18 |
| 1396096020 | Global Ambulatory Surgical Center, LLC | Clinic/Center | 3120 Parkway St Nw, Canton, OH 44708-3981 | 2012-09-20 |
| 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.