Individual provider Active NPI

Steve K Nam, M.D.

  • Internal Medicine Physician
  • Canton, OH
National Provider Identifier
1174788061
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35096396 Issued in OH
Practice address
4143 Fulton Rd NW
Canton, OH 44718-4245
Phone
(330) 244-8888
Fax
(330) 244-8850
NPI assigned
Jul 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35096396 OH Primary

Addresses

Primary practice location

4143 Fulton Rd NW
Canton, OH 44718-4245

Mailing address

4143 Fulton Rd NW
Canton, OH 44718
Phone (330) 244-8888

Other practice location 1

1441 S Main St
North Canton, OH 44720-4245
Phone (330) 244-8888

Other practice location 2

4580 Stephens Cir NW Ste 202
Canton, OH 44718-3645
Phone (330) 754-4431

Other practice location 3

5354 Township Rd 336
Millersburg, OH 44654-9375
Phone (330) 244-8888

Other identifiers 1

IdentifierTypeStateIssuer
3148365MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110128000393 OH Practitioner - Internal Medicine 8820277429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Toledo Medical College, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4143 Fulton Dr NW
Canton, OH 44718-2819
Phone (330) 244-8888

Hospital & facility affiliations

  • Aultman Health Care in Your Home Home health agency, Canton, OH, CCN 367290
  • Advantage Hospice Company Hospice, Canton, OH, CCN 361727
  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Mercy Medical Center Hospital, Canton, OH, CCN 360070
  • Alliance Community Hospital Hospital, Alliance, OH, CCN 360131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35096396OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Healthcare, LLC Current Accepting new patients
Town Park Physical Therapy & Wellness Center LLC CurrentSince Apr 1, 2018 Accepting new patients
Legends Care Center LLC Past Accepting new patients
Advantage Hospice Company PastSince May 26, 2022 Accepting new patients

Locations

4143 Fulton Dr NW
Canton, OH 44718
Phone (330) 244-8888

Interoperability endpoints

  • Direct secure messaging: snam@scp.medentdirect.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Compass Healthcare LLCReynoldsburg, OH, CCN 369259 Home health agency 5% Or Greater Direct Ownership Interest (25%)
Corporate Officer (25%)
Corporate Director (25%)
W-2 Managing Employee
Jul 7, 2018
Jul 7, 2018
Jul 7, 2018
Jul 7, 2018
Advantage Hospice CompanyCanton, OH, CCN 361727 Hospice 5% Or Greater Direct Ownership Interest (50%)
Corporate Officer (50%)
W-2 Managing Employee (50%)
May 26, 2022
May 26, 2022
May 26, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1174788061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 FULTON RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44718",
            "telephone_number": "330-244-8888",
            "fax_number": "330-244-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4143 FULTON RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447184245",
            "telephone_number": "330-244-8888",
            "fax_number": "330-244-8850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 S Main St",
            "address_purpose": "LOCATION",
            "city": "North Canton",
            "state": "OH",
            "postal_code": "447204245",
            "country_code": "US",
            "telephone_number": "330-244-8888",
            "fax_number": "330-244-8850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4580 Stephens Cir NW Ste 202",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447183645",
            "country_code": "US",
            "telephone_number": "330-754-4431",
            "fax_number": "330-244-8839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5354 Township Rd 336",
            "address_purpose": "LOCATION",
            "city": "Millersburg",
            "state": "OH",
            "postal_code": "446549375",
            "country_code": "US",
            "telephone_number": "330-244-8888",
            "fax_number": "330-244-8850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAM",
        "first_name": "STEVE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35096396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3148365",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.