Unknown Individual – Surgery Physician, NPI 1508847807
Surgery Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1330, Mercy Drive Northwest, Canton, Stark County, Ohio, 44708, United States
SUITE 319
CANTON, OH 447082626
Phone: (330) 580-4706
Fax: (330) 580-4707
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44708)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| - | OH | |
| Physician Assistant | OH | |
| Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Family Practice | OH | |
| Nurse Practitioner | OH | |
| - | OH |
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