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STARK RADIATION ONCOLOGY INCORPORATED NPI 1003847278


NPI Information

NPI: 1003847278
Provider Name: STARK RADIATION ONCOLOGY INCORPORATED
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
2600 6TH ST SW
CANTON, OH
ZIP 44710
Phone: (330) 454-2210
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STARK RADIATION ONCOLOGY INCORPORATED is a radiation oncology radiology in Canton, OH. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. STARK RADIATION ONCOLOGY INCORPORATED NPI is 1003847278. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2600 6TH ST SW
CANTON, OH
ZIP 44710-702
Phone: (330) 454-2210
Fax: (330) 454-9397

The provider's authorized official is Philip Alan Schneider .
The authorized official title is President and has the following contact phone number (330) 454-2210.

The enumeration date for this NPI number is 7/6/2006 and was last updated on 12/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ST9912971MEDICARE ID-TYPE UNSPECIFIEDOHIO
2CA4626OTHEROHIORAILROAD MEDICARE PTAN
30371628MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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