Stark Pediatrics Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35076415Y Issued in OH

Legal business name

STARK PEDIATRICS INC

Practice address

3030 Tuscarawas St W
Suite 300
Canton, OH 44708-4197

Phone

(330) 452-6109

Fax

(330) 452-5060

NPI assigned

Feb 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Asif Younus, MDNPI 1134177454

Title

President

Phone

(330) 452-6109

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Practitioners 1

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

• Asif Younus, MD

  • Pediatrics Physician
  • Canton, OH
  • NPI 1134177454
  NPD (past) Authorized official

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1619299559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 TUSCARAWAS ST W",
            "address_2": "SUITE 300",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084197",
            "telephone_number": "330-452-6109",
            "fax_number": "330-452-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 TUSCARAWAS ST W",
            "address_2": "SUITE 300",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084197",
            "telephone_number": "330-452-6109",
            "fax_number": "330-452-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARK PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "YOUNUS",
        "authorized_official_first_name": "ASIF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-452-6109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35076415Y",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stark County Urban Minority Alcohol and Drug Addiction Outreach Proje
• Stark County Women'S Clinic Inc
• Stark Family Health Center
• Stark Family Health Center
• Stark High School
• Stark Physical Therapy Inc
• Stark Prescription Assistance Network Inc
• Stark Primary Care, LLC
• Stark Radiation Oncology Incorporated
• Stark Recovery Associates

• Pediatrics Physician in Canton, OH
• Providers in Canton, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.