Family Medicine of Stark County, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

056025 Issued in OH

Legal business name

FAMILY MEDICINE OF STARK COUNTY, INC.

Practice address

6512 Whipple Ave NW
North Canton, OH 44720-7340

Phone

(330) 499-5600

NPI assigned

Jul 30, 2006

Last updated

Jul 9, 2008By 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. Gust PantelasNPI 1184689432

Title

President

Phone

(330) 499-5600

Specialties & licenses 1

Addresses

Locations

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.

• Gust Pantelas, MD

  • Family Medicine Physician
  • North Canton, OH
  • NPI 1184689432
  Authorized official Same address or phone

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1730194598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6512 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207340",
            "telephone_number": "330-499-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICINE OF STARK COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "PANTELAS",
        "authorized_official_first_name": "GUST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-499-5600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "056025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherita Leeshell Everly
• Everside Health, LLC (Marathon Health, North Canton OH)
• Eye Centers of Ohio, Inc
• Abigail Pachan Fach, COTA/L
• Stephanie R Fairley
• Family Physicians Inc
• Jo Anne Famularcano, PT
• Christine Fankhauser
• David J Farinacci, DDS
• Kyle Christopher Farley, D.O.

• Family Medicine Physician in North Canton, OH
• Providers in North Canton, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.