NPIMap

Organization Active NPI

Stark County Women'S Clinic Inc

  • Obstetrics & Gynecology Physician
  • Canton, OH
National Provider Identifier
1205923430
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
STARK COUNTY WOMEN'S CLINIC INC
Practice address
5000 Higbee Ave NW
Canton, OH 44718-2522
Phone
(330) 493-0313
Fax
(330) 493-9349
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Randall S Starcher, MDNPI 1184712325
Title
Physician
Phone
(330) 493-0313

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
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

5000 Higbee Ave NW
Canton, OH 44718-2522

Mailing address

5000 Higbee Ave NW
Canton, OH 44718-2522
Phone (330) 493-0313

Other identifiers 1

IdentifierTypeStateIssuer
0336407MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050922000841 OH Part B Supplier - Clinic/Group Practice 7012941677 Receives reassigned benefits from 11 practitioners
Practice locations: Canton, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0343652Stark County Women'S Clinic5000 Higbee Avenue Northwest, Canton, OH 44718Provider-performed microscopyDec 22, 2027

National Provider Directory

National Provider Directory

Locations

5000 Higbee Ave NW
Canton, OH 44718
Phone (330) 493-0313

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

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": "1211241600000",
    "number": "1205923430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182522",
            "telephone_number": "330-493-0313",
            "fax_number": "330-493-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182522",
            "telephone_number": "330-493-0313",
            "fax_number": "330-493-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARK COUNTY WOMEN'S CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "STARCHER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "330-493-0313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0336407",
            "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 May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.