NPIMap

Organization Active NPI

Stark County Medical Group, Inc.

  • Legal Medicine
  • Canton, OH
National Provider Identifier
1174610398
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
35076280B Issued in OH
Legal business name
STARK COUNTY MEDICAL GROUP, INC.
Practice address
4810 Munson St NW
Canton, OH 44718-3613
Phone
(330) 499-3377
Fax
(330) 499-3999
NPI assigned
Oct 9, 2006
Last updated
Sep 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Barbara H Volk, M.D.NPI 1376509877
Title
Owner
Phone
(330) 499-3377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 35076280B OH Primary

Addresses

Primary practice location

4810 Munson St NW
Canton, OH 44718-3613

Mailing address

4810 Munson St NW
Canton, OH 44718-3613
Phone (330) 499-3377

Other identifiers 1

IdentifierTypeStateIssuer
2528063MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Stark County Medical Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1174610398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 MUNSON ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183613",
            "telephone_number": "330-499-3377",
            "fax_number": "330-499-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 MUNSON ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183613",
            "telephone_number": "330-499-3377",
            "fax_number": "330-499-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARK COUNTY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "VOLK",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-499-3377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "OH",
            "license": "35076280B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2528063",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.