NPIMap

Individual provider Active NPI

Andrew P Stalker, MD

  • Neurology Physician
  • Canton, OH
National Provider Identifier
1831136704
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35078915 Issued in OH
Practice address
4048 Dressler Rd NW Ste 100
Canton, OH 44718-2784
Phone
(330) 494-2097
Fax
(330) 494-9750
NPI assigned
Jun 1, 2006
Last updated
Jun 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 35078915 OH
Neurology Physician 2084N0400X 35078915 OH Primary

Addresses

Primary practice location

4048 Dressler Rd NW Ste 100
Canton, OH 44718-2784

Mailing address

PO Box 35006
Canton, OH 44735-5006
Phone (330) 494-2097

Other identifiers 2

IdentifierTypeStateIssuer
130023468OtherOHRAILROAD MEDICARE
2230786MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041008000215 OH Practitioner - Neurology 9335108992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Ohio State University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurocare Center, Inc.Group PAC ID 5294712188, 9 clinicians

Practice addresses (Care Compare)

1652 S Union Ave
Alliance, OH 44601-4349
Phone (330) 494-2097

830 S Main St
Suite 4
Orrville, OH 44667-2291
Phone (330) 494-2097

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
96.72
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35078915OHMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurocare Sleep Center Neurology CurrentSince Jul 19, 2004 Accepting new patients
Neurocare Center Inc Neurology CurrentSince Jul 19, 2004 Accepting new patients
Ohio Hospital-Based Physician Corporation Past Accepting new patients
Ohio Hospital-Based Physician Corporation Past Accepting new patients

Locations

1652 S Union Ave
Alliance, OH 44601
Phone (330) 680-9190

270 E State St
Ste 240
Alliance, OH 44601
Phone (330) 596-6560

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

4048 Dressler Rd NW
Ste 100
Canton, OH 44718
Phone (330) 479-3333

4048 Dressler Rd NW
Ste 205
Canton, OH 44718
Phone (330) 244-2521

4105 Holiday St NW
Canton, OH 44718
Phone (330) 332-0711

830 S Main St
Ste 4
Orrville, OH 44667

564 E 2nd St
Salem, OH 44460
Phone (234) 567-8150

Interoperability endpoints

  • Direct secure messaging: andrew.stalker.1@22081.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22081/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1831136704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35006",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447355006",
            "telephone_number": "330-494-2097",
            "fax_number": "330-494-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 DRESSLER RD NW STE 100",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182784",
            "telephone_number": "330-494-2097",
            "fax_number": "330-494-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALKER",
        "first_name": "ANDREW",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "OH",
            "license": "35078915",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35078915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130023468",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2230786",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.