Organization Active NPI

Stark Cardiothoracic Surgery, Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Canton, OH
National Provider Identifier
1649468240
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
3507538P Issued in OH
Legal business name
STARK CARDIOTHORACIC SURGERY, INC
Practice address
1330 Mercy Dr NW
Suite 410
Canton, OH 44708-2626
Phone
(330) 280-6478
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Dr. John W Perry, M.D.
Title
President
Phone
(330) 280-6478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 3507538P OH Primary

Addresses

Primary practice location

1330 Mercy Dr NW
Suite 410
Canton, OH 44708-2626

Mailing address

1330 Mercy Dr NW
Suite 410
Canton, OH 44708-2626
Phone (330) 280-6478

National Provider Directory

National Provider Directory

Locations

1330 Mercy Dr NW
Ste 410
Canton, OH 44708
Phone (330) 280-6478

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1649468240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 MERCY DR NW",
            "address_2": "SUITE 410",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447082626",
            "telephone_number": "330-280-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 MERCY DR NW",
            "address_2": "SUITE 410",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447082626",
            "telephone_number": "330-280-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARK CARDIOTHORACIC SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-280-6478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "3507538P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.