Organization Active NPI

Stark County Surgeons, Inc

  • Surgery Physician
  • Massillon, OH
National Provider Identifier
1962510651
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
STARK COUNTY SURGEONS, INC
Practice address
2819 Aaronwood Ave NE
Massillon, OH 44646-2371
Phone
(330) 837-8300
Fax
(330) 837-8111
NPI assigned
Aug 25, 2006
Last updated
Jun 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Authorized official

Name
Dr. Warren Henry Kofol, MDNPI 1164427639
Title
President
Phone
(330) 837-8300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

2819 Aaronwood Ave NE
Massillon, OH 44646-2371

Mailing address

2819 Aaronwood Ave NE
Massillon, OH 44646-2371
Phone (330) 837-8300

National Provider Directory

National Provider Directory

Locations

2819 Aaronwood Ave NE
Massillon, OH 44646
Phone (330) 837-8300

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1962510651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 AARONWOOD AVE NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462371",
            "telephone_number": "330-837-8300",
            "fax_number": "330-837-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 AARONWOOD AVE NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462371",
            "telephone_number": "330-837-8300",
            "fax_number": "330-837-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARK COUNTY SURGEONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "KOFOL",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-837-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.