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AULTMAN MEDICAL GROUP, INC
NPI 1164795795
Urology in Canton, OH

Active since February 13, 2012CLIA 36D2281367 · Waiver
2600 SIXTH ST SW, CANTON, OH 44710(330) 452-9911 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Aultman Medical Group, Inc NPPES

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

AULTMAN MEDICAL GROUP, INC (NPI 1164795795) is a healthcare organization registered as an urology in Canton, Ohio and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through May 4, 2027 and lists Matthew Stewart, President, as its authorized official.

NPPES Registry Identity

NPI1164795795
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameAULTMAN MEDICAL GROUP, INC
Location Address2600 SIXTH ST SWCanton, OH 44710-1702
Mailing AddressPo Box 80690Canton, OH 44708-0690 · (330) 363-7444 · Fax (330) 363-7770
Phone(330) 452-9911
Organization SubpartNo
Authorized OfficialMatthew StewartPresident · (330) 452-9911
Enumeration DateFebruary 13, 2012
Last NPPES UpdateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1164795795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2600 SIXTH ST SW, Canton, OH 44710
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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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2281367

Aultman Medical Group Mansard Medical Center · Canton, OH
Active · expires May 4, 2027
CLIA Number36D2281367
Laboratory TypePhysician Office
Certificate Effective DateMay 5, 2025
Certificate Expiration DateMay 4, 2027
Laboratory DirectorLouis Shaheen
Laboratory Phone(330) 452-8858
Laboratory LocationAultman Medical Group Mansard Medical Center2600 W Tuscarawas #500, Canton, OH 44708
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHELSEA FLIGHT CNP
Nurse Practitioner
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 363-0000
JAIME MARIE RENNECKER
Nurse Practitioner (Neonatal)
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 363-5433
JARELIZ CALDAS DIAZ MD
Student in an Organized Health Care Education/Training Program
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 363-6223
YARA KHOURI M.D.
Internal Medicine
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 363-6235
HEATHER BAKER AGACNP
Nurse Practitioner (Acute Care)
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 452-9911
SHELBY WESTHOEFER
Nurse Practitioner
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 452-9911
MR. KEVIN WHITE C.R.N.A.
Nurse Anesthetist, Certified Registered
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 363-7462
DR. DOUGLAS ALLEN WOOD DO
Emergency Medicine
2600 SIXTH ST SW
CANTON, OH 44710
Stark County (330) 456-2695

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aultman Medical Group, Inc's NPI number?

The NPI number for Aultman Medical Group, Inc is 1164795795. It was assigned to this organization in the NPPES registry on February 13, 2012.

Where is Aultman Medical Group, Inc located?

Aultman Medical Group, Inc is located at 2600 Sixth St SW, Canton, OH 44710. The listed phone number is (330) 452-9911.

What is Aultman Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Aultman Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2281367) is associated with this NPI, valid through May 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Aultman Medical Group, Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Aultman Medical Group, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Aultman Medical Group, Inc was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.