SKILL DOC 101, LLC
NPI 1043647803
Internal Medicine in Canton, OH

Q: What is Skill Doc 101, LLC's NPI number?

The NPI number for Skill Doc 101, LLC is 1043647803. It was assigned to this organization in the NPPES registry on October 10, 2013.

Q: What is Skill Doc 101, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since October 10, 2013

236 3RD ST SW, CANTON, OH 44702(330) 754-4431(330) 244-8839 Get Directions Write a Review

NPPES record last updated: June 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 8, 2025, Mar 31, 2025, Dec 18, 2024 and 4 more (7 updates tracked since 2019).

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About Skill Doc 101, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SKILL DOC 101, LLC (NPI 1043647803) is a healthcare organization registered as an internal medicine in Canton, Ohio and active in the NPI registry since October 2013. The organization lists Brian Mcclain, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043647803

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameSKILL DOC 101, LLC

Location Address236 3RD ST SWCanton, OH 44702-1607

Mailing Address236 3rd St SwCanton, OH 44702-1607 · (330) 754-4431 · Fax (330) 244-8839

Phone(330) 754-4431

Fax(330) 244-8839

Organization SubpartNo

Authorized OfficialBrian McclainCeo · (330) 754-4431

Enumeration DateOctober 10, 2013

Last NPPES UpdateJune 8, 20257 updates tracked since enumeration

NPPES CertifiedJune 8, 2025

✔ NPI 1043647803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

236 3RD ST SW, Canton, OH 44702

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Skill Doc 101, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 84 clinicians reassign Medicare billing to Skill Doc 101, LLC, which bills Medicare for the services they deliver. Of these, 34 practice at this address and 54 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner67

Family Practice6

Internal Medicine6

Certified Clinical Nurse Specialist (CNS)1

Geriatric Medicine1

Hospitalist1

Obstetrics/Gynecology1

Physical Medicine and Rehabilitation1

Nearest to this location (20)

See all 84

Aric Anderson, APRN-CNP

Nurse Practitioner

NPI 1770280281