Stark County Emergency Physicians

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

363A00000X Issued in OH

Legal business name

STARK COUNTY EMERGENCY PHYSICIANS

Practice address

5154 Fulton Dr NW
Canton, OH 44718-2365

Phone

(330) 499-8837

NPI assigned

Oct 23, 2012

Last updated

Oct 23, 2012By 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

Dr. Frank Kaeberlein

Title

MD, Vice President

Phone

(330) 489-1365

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Kelcie Chadima, PA-C

  • Medical Physician Assistant
  • Canton, OH
  • NPI 1891186417
  NPD (past)
• Cameron Hord, PA-C

  • Medical Physician Assistant
  • Canton, OH
  • NPI 1962921643
  NPD (past)

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1679826010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5154 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182365",
            "telephone_number": "330-499-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5154 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182365",
            "telephone_number": "330-499-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARK COUNTY EMERGENCY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "KAEBERLEIN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "MD, VICE PRESIDENT",
        "authorized_official_telephone_number": "330-489-1365",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "363A00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stark Area Regional Transit Authority
• Stark Cardiothoracic Surgery, Inc
• Stark County Anesthesia, Inc.
• Stark County Board of DD
• Stark County Edcuational Service Center
• Stark County Emergency Physicians, Inc
• Stark County Foot & Ankle Clinic
• Stark County Medical Group, Inc.
• Stark County Medical Group, Inc.
• Stark County Pathologists Inc

• General Acute Care Hospital in Canton, OH
• Providers in Canton, OH by specialty
• General Acute Care Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.