Organization Active NPI

Surgical Associates of Canton, Inc.

  • Surgery Physician
  • Canton, OH
National Provider Identifier
1336127091
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGICAL ASSOCIATES OF CANTON, INC.
Practice address
2600 Tuscarawas St W
Suite 620
Canton, OH 44708-4644
Phone
(330) 455-8000
Fax
(330) 455-6006
NPI assigned
Jan 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Dr. Todd Meyerhoefer, MD
Title
President
Phone
(330) 455-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

2600 Tuscarawas St W
Suite 620
Canton, OH 44708-4644

Mailing address

2600 Tuscarawas St W
Suite 620
Canton, OH 44708-4644
Phone (330) 455-8000

Other identifiers 1

IdentifierTypeStateIssuer
2354143MedicaidOH

National Provider Directory

National Provider Directory

Locations

2600 Tuscarawas St W
Ste 620
Canton, OH 44708
Phone (330) 455-8000

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1336127091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 TUSCARAWAS ST W",
            "address_2": "SUITE 620",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084644",
            "telephone_number": "330-455-8000",
            "fax_number": "330-455-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 TUSCARAWAS ST W",
            "address_2": "SUITE 620",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084644",
            "telephone_number": "330-455-8000",
            "fax_number": "330-455-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF CANTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "MEYERHOEFER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-455-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2354143",
            "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 Dec 19, 2007; 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.