Individual provider Active NPI

Stephen M Passerini, MD

  • Diagnostic Radiology Physician
  • Canton, OH
National Provider Identifier
1699714634
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35084360 Issued in OH
Practice address
2600 6TH St SW
Radiology Associates of Canton, Inc
Canton, OH 44710-1702
Phone
(330) 363-2842
Fax
(330) 580-5536
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 35084360 OH
Diagnostic Radiology Physician 2085R0202X 35084360 OH Primary

Addresses

Primary practice location

2600 6TH St SW
Radiology Associates of Canton, Inc
Canton, OH 44710-1702

Mailing address

P.O. Box 72384
Radiology Associates of Canton, Inc.
Cleveland, OH 44192
Phone (888) 686-1837

Other identifiers 2

IdentifierTypeStateIssuer
2670364MedicaidOH
P00324477OtherOHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060613000205 OH Practitioner - Diagnostic Radiology 5193737161 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio State University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians
Aultman Now Urgent Care, LLCGroup PAC ID 7719318633, 43 clinicians
Radiology Associates of Canton IncGroup PAC ID 7012829260, 35 clinicians

Practice addresses (Care Compare)

111 S Grant Ave
Ohiohealth Grant Medical Center
Columbus, OH 43215-4701
Phone (614) 228-7231

2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 452-9911

2600 Navarre Ave
MHN St Charles Hospital
Oregon, OH 43616-3207
Phone (419) 696-7225

6100 Whipple Ave NW
North Canton, OH 44720-7618
Phone (330) 305-6999

7934 Greenwich Blvd NW
Massillon, OH 44646-8731
Phone (330) 363-2842

832 S Main St
Orrville, OH 44667-2208
Phone (330) 682-3010

Hospital & facility affiliations

  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Alliance Community Hospital Hospital, Alliance, OH, CCN 360131
  • Highland District Hospital Hospital, Hillsboro, OH, CCN 361332
  • Aultman Orrville Hospital Hospital, Orrville, OH, CCN 361323
  • Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35084360OHMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Jun 1, 2018 Accepting new patients
Radiology Associates of Canton, Inc. Body Imaging CurrentSince Jun 15, 2006 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Aug 1, 2017 Accepting new patients
Aultman Now Urgent Care, LLC CurrentSince Nov 17, 2021 Accepting new patients
Community Health Care Inc. Past Accepting new patients
Columbus Radiology Corp Diagnostic Radiology Past Accepting new patients

Locations (25 of 33)

75 Glamorgan St
Alliance, OH 44601
Phone (330) 452-8844

200 E State St
Alliance, OH 44601
Phone (330) 596-6000

155 5th St NE
#H
Barberton, OH 44203
Phone (330) 615-3000

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

944 Cherry St E
Canal Fulton, OH 44614
Phone (330) 854-4281

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

7066 Fulton Dr NW
Canton, OH 44718
Phone (330) 363-8567

2821 Woodlawn Ave NW
Canton, OH 44708
Phone (330) 479-4800

1020 Trump Rd NW
Carrollton, OH 44615
Phone (330) 627-0091

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

471 E Broad St
Ste 1400
Columbus, OH 43215
Phone (614) 221-9241

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

603 Monroe St
Dover, OH 44622
Phone (330) 364-8889

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

1909 Williamsburg Way NE
Louisville, OH 44641
Phone (234) 252-9181

2021 Wales Ave NW
Massillon, OH 44646
Phone (330) 363-2180

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

2203 E Maple St
North Canton, OH 44720
Phone (330) 363-8580

6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 244-8778

200 W Lorain St
Oberlin, OH 44074
Phone (440) 775-1211

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1699714634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 72384",
            "address_2": "RADIOLOGY ASSOCIATES OF CANTON, INC.",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44192",
            "telephone_number": "888-686-1837",
            "fax_number": "330-686-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 6TH ST SW",
            "address_2": "RADIOLOGY ASSOCIATES OF CANTON, INC",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-363-2842",
            "fax_number": "330-580-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSERINI",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "OH",
            "license": "35084360",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35084360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2670364",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00324477",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.