Individual provider Active NPI

Aaron Clark

  • Emergency Medicine Physician
  • Canton, OH
National Provider Identifier
1205255296
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35.129785 Issued in OH
Practice address
6100 Whipple Ave NW
Canton, OH 44720-7618
Phone
(330) 305-6999
Fax
(330) 305-6997
NPI assigned
Apr 7, 2014
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Emergency Medicine Physician 207P00000X 35.129785 OH Primary

Addresses

Primary practice location

6100 Whipple Ave NW
Canton, OH 44720-7618

Mailing address

PO Box 80690
Canton, OH 44708-0690
Phone (330) 363-7444

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Aaron.Clark@direct.aultman.org

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
I20170518001617 OH Practitioner - Emergency Medicine 8123317377 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aultman Now Urgent Care, LLCGroup PAC ID 7719318633, 43 clinicians

Practice addresses (Care Compare)

6100 Whipple Ave NW
North Canton, OH 44720-7618
Phone (330) 305-6999

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stark County Pathologists Inc Current Accepting new patients
Aultman Now Urgent Care, LLC CurrentSince Sep 18, 2023 Accepting new patients
Aultman Hospital CurrentSince Mar 6, 2019 Accepting new patients
Aultman Hospital Current Accepting new patients
Aultman Hospital CurrentSince Mar 6, 2019 Accepting new patients
Canton Aultman Emergency Physicians Inc Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients

Locations

200 E State St
Alliance, OH 44601
Phone (330) 596-6000

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

7066 Fulton Dr NW
Canton, OH 44718
Phone (330) 363-8567

1909 Williamsburg Way NE
Louisville, OH 44641
Phone (234) 252-9181

2203 E Maple St
North Canton, OH 44720
Phone (330) 363-8580

6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 305-6999

Interoperability endpoints

  • Direct secure messaging: aaron.clark@direct.aultman.org

Organizations & group practices 6

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

Hospital & facility affiliations 1

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1205255296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80690",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447080690",
            "telephone_number": "330-363-7444",
            "fax_number": "330-363-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447207618",
            "telephone_number": "330-305-6999",
            "fax_number": "330-305-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "AARON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.129785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Aaron.Clark@direct.aultman.org",
            "affiliation": "N",
            "address_1": "2600 Sixth St SW",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447101702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.