Stark County Foot & Ankle Clinic

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

OH36002987 Issued in OH

Legal business name

STARK COUNTY FOOT & ANKLE CLINIC

Practice address

4503 Fulton Dr NW
Canton, OH 44718-2331

Phone

(330) 956-4857

NPI assigned

Jun 18, 2008

Last updated

Jun 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven D Gross, D.P.M.NPI 1598755274

Title

Owner

Phone

(330) 837-7715

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Benjamin Arnold, DPM

  • Foot & Ankle Surgery Podiatrist
  • Canton, OH
  • NPI 1982695011
  Medicare reassignment Care Compare group NPD
• Dustin Michael Fox, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Alliance, OH
  • NPI 1073898045
  Medicare reassignment Care Compare group NPD
• Adrienne Marie O'Neill, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Sidney, OH
  • NPI 1437470481
  Medicare reassignment Care Compare group NPD
• Matthew E. Edington, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Canton, OH
  • NPI 1164919973
  Medicare reassignment NPD
• April Inez Nelson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Naples, FL
  • NPI 1528448412

  OH

  Medicare reassignment NPD
• Steven David Gross, DPM

  • Foot & Ankle Surgery Podiatrist
  • Canton, OH
  • NPI 1598755274
  Authorized official Same address or phone

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1457512949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4503 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182331",
            "telephone_number": "330-956-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182331",
            "telephone_number": "330-956-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARK COUNTY FOOT & ANKLE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-837-7715",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "OH36002987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stark County Anesthesia, Inc.
• Stark County Board of DD
• Stark County Edcuational Service Center
• Stark County Emergency Physicians
• Stark County Emergency Physicians, Inc
• Stark County Medical Group, Inc.
• Stark County Medical Group, Inc.
• Stark County Pathologists Inc
• Stark County Physicians LLC
• Stark County Tasc

• Foot & Ankle Surgery Podiatrist in Canton, OH
• Providers in Canton, OH by specialty
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.