CANTON INTERNAL MEDICINE ASSOCIATES INCE
NPI 1518908698
Internal Medicine in Canton, OH

Active since June 09, 2006CLIA 36D0725555 · Waiver
4076 HOLIDAY ST NW, CANTON, OH 44718(330) 492-3738(330) 492-5640 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Canton Internal Medicine Associates Ince NPPES

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

CANTON INTERNAL MEDICINE ASSOCIATES INCE (NPI 1518908698) is a healthcare organization registered as an internal medicine in Canton, Ohio and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Stacy Lynn Diehl, Insurance Claims Processor, as its authorized official.

NPPES Registry Identity

NPI1518908698
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCANTON INTERNAL MEDICINE ASSOCIATES INCE
Location Address4076 HOLIDAY ST NWCanton, OH 44718
Mailing Address4076 Holiday St NwCanton, OH 44718 · (330) 492-3738 · Fax (330) 492-5640
Fax(330) 492-5640
Organization SubpartNo
Authorized OfficialStacy Lynn DiehlInsurance Claims Processor · (330) 833-5692
Enumeration DateJune 9, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1518908698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · OH35060119
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.
4076 HOLIDAY ST NW, Canton, OH 44718

Other Identifiers 1

Medicaid0792898OH

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 SINGLE SPECIALTY GROUP

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 36D0725555

Canton Internal Medicine · Canton, OH
Active · expires Aug 31, 2026
CLIA Number36D0725555
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorEser Talug MD
Laboratory Phone(330) 492-5455
Laboratory LocationCanton Internal Medicine4076 Holiday Street Northwest, Canton, OH 44718
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

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

Internal Medicine
4076 HOLIDAY ST NW
CANTON, OH 44718

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 Canton Internal Medicine Associates Ince's NPI number?

The NPI number for Canton Internal Medicine Associates Ince is 1518908698. It was assigned to this organization in the NPPES registry on June 9, 2006.

Where is Canton Internal Medicine Associates Ince located?

Canton Internal Medicine Associates Ince is located at 4076 Holiday St NW, Canton, OH 44718. The listed phone number is (330) 492-3738.

What is Canton Internal Medicine Associates Ince's specialty?

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

Does Canton Internal Medicine Associates Ince hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0725555) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Canton Internal Medicine Associates Ince was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.