Stark Medical Specialist 2LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

STARK MEDICAL SPECIALIST 2LLC

Practice address

323 Marion Ave NW
Massillon, OH 44646-3639

Phone

(404) 943-0205

NPI assigned

Mar 14, 2008

Organization subpart

No

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

Authorized official

Name

Alicia Holden, ACCOUNTING

Title

Lead

Phone

(404) 943-0205

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1356512677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468329",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311468329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MARION AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463639",
            "telephone_number": "404-943-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARK MEDICAL SPECIALIST 2LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "LEAD",
        "authorized_official_telephone_number": "404-943-0205",
        "authorized_official_credential": "ACCOUNTING"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stafford General Dentistry
• Christian Moneth Stallard, LPN
• Kevin Ralph Stanich, DDS
• Stark County Foot & Ankle Clinic
• Stark County Surgeons, Inc
• Stark Medical Specialties, Inc
• Stark Speech Services, LLC
• Starrangel
• State of Ohio Office of Budget & Management State Accounting
• State of Ohio Office of Budget and Management State Accounting

• All providers in Massillon, OH
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.