STARK COUNTY FOOT & ANKLE CLINIC NPI 1023059102

NPI Information

  • NPI: 1023059102
  • Provider Name: STARK COUNTY FOOT & ANKLE CLINIC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 323 MARION AVE NW
    SUITE 101
    MASSILLON, OH
    ZIP 44646
  • Phone: (330) 837-7715

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NPI Details

STARK COUNTY FOOT & ANKLE CLINIC is a foot and ankle surgery podiatrist in Massillon, OH. STARK COUNTY FOOT & ANKLE CLINIC NPI is 1023059102. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

323 MARION AVE NW
SUITE 101
MASSILLON, OH
ZIP 44646
Phone: (330) 837-7715
Fax: (330) 837-7645

The provider's authorized official is Stacy Lynn Diehl .
The authorized official title is Insurance Claims Processor and has the following contact phone number (330) 833-5692.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryOH36002987OHIOYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12413650MEDICAIDOHIO

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: 11/21/2025

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