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STARK MEDICAL SPECIALTIES, INC
NPI 1477573772
Internal Medicine in Massillon, OH

Active since July 20, 2006CLIA 36D0969646 · Waiver
2458 LINCOLN WAY E, MASSILLON, OH 44646(330) 837-1111(330) 832-1341 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 14, 2025, Jan 16, 2020 (2 updates tracked since 2020).

About Stark Medical Specialties, Inc NPPES

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

STARK MEDICAL SPECIALTIES, INC (NPI 1477573772) is a healthcare organization registered as an internal medicine in Massillon, Ohio and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 20, 2028 and lists Paula Hurst, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1477573772
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSTARK MEDICAL SPECIALTIES, INC
Location Address2458 LINCOLN WAY EMassillon, OH 44646-5085
Mailing Address2458 Lincoln Way EMassillon, OH 44646-5085 · (330) 837-1111 · Fax (330) 832-1341
Phone(330) 837-1111
Fax(330) 832-1341
Organization SubpartNo
Authorized OfficialPaula HurstCredentialing · (330) 837-6109
Enumeration DateJuly 20, 2006
Last NPPES UpdateMarch 14, 20252 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
✔ NPI 1477573772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X
2458 LINCOLN WAY E, Massillon, OH 44646
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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)

Stark Medical Specialties, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Stark Medical Specialties, Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Kerrie David, D.O.
Internal Medicine
NPI 1760481469
2458 LINCOLN WAY E
Massillon, OH 44646
(330) 837-1111
✔ PECOS✔ Accepts MedicareSame address
Anthony Perry, D.O.
Internal Medicine
NPI 1619976313
2458 LINCOLN WAY E
Massillon, OH 44646
(330) 837-1111
✔ PECOS✔ Accepts MedicareSame address
Scott Williams, M.D.
Internal Medicine
NPI 1508862343
2458 LINCOLN WAY E
Massillon, OH 44646
(330) 837-1111
✔ PECOS✔ Accepts MedicareSame address
Victoria Mohn, CNP
Nurse Practitioner
NPI 1578081873
2458 LINCOLN WAY E
Massillon, OH 44646
(330) 837-1111
✔ PECOS✔ Accepts MedicareSame address
Cristina Ilijevski, APRN-CNP
Nurse Practitioner
NPI 1154023315
4580 STEPHENS CIR NW STE 202
Canton, OH 44718
(330) 754-4431
✔ PECOS4.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 36D0969646

Stark Medical Specialties, Inc · Massillon, OH
Active · expires Jan 20, 2028
CLIA Number36D0969646
Laboratory TypePhysician Office
Certificate Effective DateJanuary 21, 2026
Certificate Expiration DateJanuary 20, 2028
Laboratory DirectorKerrie L. David
Laboratory Phone(330) 837-1111
Laboratory LocationStark Medical Specialties, Inc2458 Lincoln Way East, Massillon, OH 44646
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Stark Medical Specialties, Inc's NPI number?

The NPI number for Stark Medical Specialties, Inc is 1477573772. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Stark Medical Specialties, Inc located?

Stark Medical Specialties, Inc is located at 2458 Lincoln Way E, Massillon, OH 44646. The listed phone number is (330) 837-1111.

What is Stark Medical Specialties, Inc's specialty?

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

Is Stark Medical Specialties, Inc enrolled in Medicare?

Yes. Stark Medical Specialties, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stark Medical Specialties, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Stark Medical Specialties, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (3) and Nurse Practitioner (2). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Stark Medical Specialties, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0969646) is associated with this NPI, valid through January 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Stark Medical Specialties, Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Stark Medical Specialties, 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 Stark Medical Specialties, Inc was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.