Aultman Hospital
Organization Active NPI General Acute Care Hospital · Canton, OH
NPI 1265458186 · NPPES record last updated Feb 3, 2025
Key facts
- NPI
- 1265458186
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- AULTMAN HOSPITAL
- Practice address
- 2600 6TH St SW
Canton, OH 44710-1702 - Phone
- (330) 452-9911
- NPI assigned
- Jul 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Mark Wright
- Title
- VP
- Phone
- (330) 452-9911
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 13
Practitioners 50
-
Kari Akers, FNP
-
Shannon Baker, DO
-
Joel Eric Balcom, M.D.
-
Raffi Bardakjian, MD
-
Tresa Ann Berndt, NP-C
-
William G Clark, MD
-
Son N Dang, MD
-
Manova David, M.D
-
Steven E. Davis, MD
-
Milan R. Dopirak, M.D.
-
Brendan K Duffy, M.D.
-
Amber Dunlap-Ott, NP-C
-
Laura Elizabeth Fenn, CNP
-
Kristen E Fliger, APRN-CNP
-
Manish Goyal, MD
-
Firas M.a. Hamdan, M.D.
-
Todd L Johnson, M.D.
-
George H Kefalas, M.D.
-
Danielle S. Kiko, M.D.
-
Thomas J Kinney, MD
-
Michael T Mader, MD
-
Lesley Renee McMahon, NURSE PRACTITIONER
-
Alan Merry, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040121000010 | OH | Part B Supplier - Clinic/Group Practice | 3779485867 |
Receives reassigned benefits from 153 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Canton, OH; Dover, OH |
National Provider Directory
- Tax ID family
- Hugh M Pratt
Locations
8320 Waynesburg Dr SE
Waynesburg, OH 44688
Phone (330) 866-2510
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
2600 6TH St SW
Canton, OH 44710-1702
Mailing address
2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 452-9911
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0318758 | Medicaid | OH | |
| 0658131 | Medicaid | OH | |
| 2121091 | Medicaid | OH |
Other names
- AULTMAN PHYSICIAN GROUP
Other providers in Canton, OH
- Aultman Cancer Care LLC
- Aultman Deuble Heart & Vascular Hospital, LLC
- Aultman Home Medical
- Aultman Hospital
- Aultman Hospital
- Aultman Hospital
- Aultman Hospital
- Aultman Hospital
- Aultman Hospital
- Aultman Hospital
All providers in Canton, OH · General Acute Care Hospital in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.