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STARK COUNTY MEDICAL GROUP INC. NPI 1174610398


NPI Information

NPI: 1174610398
Provider Name: STARK COUNTY MEDICAL GROUP, INC.
Classification: Legal Medicine - 173000000X
Entity Type: Organization

CLIA Number: 36D0343695

Address:
4810 MUNSON ST NW
CANTON, OH
ZIP 44718
Phone: (330) 499-3377
Get Directions

STARK COUNTY MEDICAL GROUP, INC. is a legal medicine in Canton, OH. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. STARK COUNTY MEDICAL GROUP, INC. NPI is 1174610398. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4810 MUNSON ST NW
CANTON, OH
ZIP 44718-613
Phone: (330) 499-3377
Fax: (330) 499-3999

The provider's authorized official is Barbara H Volk .
The authorized official title is Owner and has the following contact phone number (330) 499-3377.

The CLIA number assigned to this NPI record is 36D0343695 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2006 and was last updated on 9/29/2011.


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
1173000000XLegal Medicine35076280BOHIOYes

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
12528063MEDICAIDOHIO
2G99582MEDICARE UPINOHIO

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.