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

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.

Title

Owner

Phone

(330) 837-7715

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 5

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

• 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

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.