Stark Medical Specialties, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

STARK MEDICAL SPECIALTIES, INC

Practice address

2458 Lincoln Way E
Massillon, OH 44646-5085

Phone

(330) 837-1111

Fax

(330) 832-1341

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Paula Hurst

Title

Credentialing

Phone

(330) 837-6109

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: starkmedical@starkmedical.medentdirect.com

Practitioners 5

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

• Kerrie Lynn David, D.O.

  • Internal Medicine Physician
  • Massillon, OH
  • NPI 1760481469

  Internal Medicine, OH

  Medicare reassignment Care Compare group NPD
• Anthony Victor Perry Jr., D.O.

  • Internal Medicine Physician
  • Massillon, OH
  • NPI 1619976313

  Internal Medicine, OH

  Medicare reassignment Care Compare group NPD
• Scott D. Williams, M.D.

  • Internal Medicine Physician
  • Massillon, OH
  • NPI 1508862343

  Internal Medicine, OH

  Medicare reassignment Care Compare group NPD
• Cristina Dawn Ilijevski, APRN-CNP

  • Gerontology Nurse Practitioner
  • Canton, OH
  • NPI 1154023315

  OH

  Medicare reassignment NPD
• Victoria Mohn, CNP

  • Nurse Practitioner
  • Massillon, OH
  • NPI 1578081873

  OH

  Medicare reassignment NPD

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1477573772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2458 LINCOLN WAY E",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446465085",
            "telephone_number": "330-837-1111",
            "fax_number": "330-832-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2458 LINCOLN WAY E",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446465085",
            "telephone_number": "330-837-1111",
            "fax_number": "330-832-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARK MEDICAL SPECIALTIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "330-837-6109"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "starkmedical@starkmedical.medentdirect.com",
            "affiliation": "Y",
            "affiliationName": "STARK MEDICAL SPECIALTIES, INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2458 Lincoln Way E",
            "city": "Massillon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446465085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christian Moneth Stallard, LPN
• Kevin Ralph Stanich, DDS
• Stark County Foot & Ankle Clinic
• Stark County Surgeons, Inc
• Stark Medical Specialist 2LLC
• Stark Speech Services, LLC
• Starrangel
• State of Ohio Office of Budget & Management State Accounting
• State of Ohio Office of Budget and Management State Accounting
• Tracy Onna Stclair

• All providers in Massillon, OH
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.