DR. TRACY ANN KOTNIK (M.D., F.A.A.F.P.) – Family Medicine Physician, NPI 1619967957

DR. TRACY ANN KOTNIK (M.D., F.A.A.F.P.) is a healthcare provider. based in Canton, Ohio. specializing in Family Medicine Physician. They hold the professional credentials M.D., F.A.A.F.P.. They hold a License No. 35062187K (OH). The NPI Number for DR. TRACY ANN KOTNIK (M.D., F.A.A.F.P.) is 1619967957

Main info

Female
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. TRACY ANN KOTNIK (M.D., F.A.A.F.P.)
NPI
1619967957
Phone
(330) 456-5472
Address
3218 WOODRIDGE AVE NW
Enumeration Date
27 October 2005
Last Update Date
2 July 2010

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
3308306140
Graduation Year
1990 (36 years ago)
PAC ID
9739079732
Group Practice PAC ID
7416857198
Professional Enrollment ID
I20111215000295
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. TRACY ANN KOTNIK (M.D., F.A.A.F.P.)

  • 3218 WOODRIDGE AVE NW

    CANTON, OH 447183448

    Phone: (330) 456-5472

    Type: Mailing

  • 2859, Aaronwood Avenue Northeast, Kendall Heights, Massillon, Jackson Township, Stark County, Ohio, 44646, United States

    UNIT 3

    MASSILLON, OH 446462371

    Phone: (330) 832-2280

    Fax: (330) 832-4732

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

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 ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44718)

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Provider's Procedures

DR. TRACY ANN KOTNIK (M.D., F.A.A.F.P.) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOH81002Urinalysis, manual test2116

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416857198View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
-OH
Physician AssistantOH
Internal MedicineOH
Nurse PractitionerOH
Nurse PractitionerOH
Family PracticeOH
Nurse PractitionerOH
-OH

Reviews

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Frequently asked questions

What is the registry number for DR. TRACY ANN KOTNIK (M.D., F.A.A.F.P.)?
The registry entry for DR. TRACY ANN KOTNIK (M.D., F.A.A.F.P.) shows NPI 1619967957.
Quick check: is DR. TRACY ANN KOTNIK (M.D., F.A.A.F.P.) active?
Public NPPES data shows DR. TRACY ANN KOTNIK (M.D., F.A.A.F.P.) with an active NPI status right now.
What type of care does DR. TRACY ANN KOTNIK (M.D., F.A.A.F.P.) provide?
DR. TRACY ANN KOTNIK (M.D., F.A.A.F.P.)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. TRACY ANN KOTNIK (M.D., F.A.A.F.P.)?
DR. TRACY ANN KOTNIK (M.D., F.A.A.F.P.) is associated with Canton, Ohio in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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