Stark County Internal Medicine Inc in North Canton - Internal Medicine

Stark County Internal Medicine Inc - NPI 1083892525

Stark County Internal Medicine Inc is a Internal Medicine in North Canton, Ohio. Stark County Internal Medicine Inc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Stark County Internal Medicine Inc is 1083892525. The last update date is 2014-06-04.

Stark County Internal Medicine Inc's current location address is 1401 S Main St, North Canton, Ohio. You can contact this provider via phone number 3304978636 and fax number 3304978634. The mailing address for Stark County Internal Medicine Inc is 1401 S Main St, North Canton, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Organization Stark County Internal Medicine Inc
Address 1401 S Main St, North Canton, Ohio
Phone Number 3304978636
Fax Number 3304978634
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Oberly Lynn Julie
Credentials M.D.
Telephone Number 3304978636

NPI Number Detail

NPI Number 1083892525
Provider Enumeration Date 2008-02-06
Last Updated Date 2014-06-04

Provider Mailing Address Detail

Address 1401 S Main St
City North Canton
State Ohio (OH)
Post Code 447204289
Phone Number 3304978636
Fax Number 3304978634

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 35076929-O
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2243594 OH --
SP00931 MEDICARE GROUP NUMBER

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FAQs about Stark County Internal Medicine Inc

What is the unique 10-digit identification code issued to Stark County Internal Medicine Inc by the Centers for Medicare & Medicaid Services?

The Stark County Internal Medicine Inc has been assigned the NPI (National Provider Identifier) 1083892525 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Stark County Internal Medicine Inc's physical address?

The Stark County Internal Medicine Inc is physically located at 1401 S Main St, in the city of North Canton, OH, with the postal code 447204289.

What is Stark County Internal Medicine Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Stark County Internal Medicine Inc's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1083892525 to Stark County Internal Medicine Inc?

The Stark County Internal Medicine Inc received its 1083892525 assignment from the Centers for Medicare & Medicaid Services on 2008-02-06.

When was the information regarding Stark County Internal Medicine Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Stark County Internal Medicine Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-06-04.

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