Star Pediatric Care

Primary specialty

Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X

Legal business name

STAR PEDIATRIC CARE

Practice address

128 Wertz Ave NW Ste a
Canton, OH 44708-4196

Phone

(330) 621-0553

Fax

(234) 444-5387

NPI assigned

Feb 9, 2023

Last updated

Feb 9, 2023By 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

Ms. Asia Annette EverettNPI 1124628896

Title

President/ Ceo

Phone

(330) 209-9945

Specialties & licenses 4

Addresses

Practitioners 1

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.

• Asia Annette Everett

  • Home Health Aide
  • Canton, OH
  • NPI 1124628896
  NPD Authorized official

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1619674637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 WERTZ AVE NW STE A",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084196",
            "telephone_number": "330-621-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 WERTZ AVE NW STE A",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084196",
            "telephone_number": "330-621-0553",
            "fax_number": "234-444-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR PEDIATRIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "ASIA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "330-209-9945",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Renee Stanich, CNP
• Stanley Bertman, M.D., Inc
• Claire E. Stansbury, AA
• Seth Stanton
• Kimberly Staples
• Brian Keith Starcher, CT
• Randall S Starcher, MD
• Stark Ambulatory Surgery Center, LLC
• Stark Area Regional Transit Authority
• Stark Cardiothoracic Surgery, Inc

• Pediatric Emergency Medicine (Pediatrics) Physician in Canton, OH
• Providers in Canton, OH by specialty
• Pediatric Emergency Medicine (Pediatrics) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.