1. Home
  2. Directory
  3. Ohio
  4. Canton
  5. Clinic Center
  6. NPI Profile

STARK AMBULATORY SURGERY CENTER, LLC
NPI 1740260926
Clinic/Center - Ambulatory Surgical in Canton, OH

Active since January 23, 2006CLIA 36D1027349 · Waiver
4360 FULTON DR NW, SUITE C, CANTON, OH 44718(330) 305-2020(330) 305-2020 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Stark Ambulatory Surgery Center, Llc NPPES

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

STARK AMBULATORY SURGERY CENTER, LLC (NPI 1740260926) is a healthcare organization registered as an ambulatory surgical in Canton, Ohio and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through June 27, 2028 and lists Christopher Hartshorn, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1740260926
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSTARK AMBULATORY SURGERY CENTER, LLC
Location Address4360 FULTON DR NW, SUITE CCanton, OH 44718-2878
Mailing Address4360 Fulton Dr Nw, Suite CCanton, OH 44718-2878 · (330) 305-2020 · Fax (330) 305-2020
Phone(330) 305-2020
Fax(330) 305-2020
Organization SubpartNo
Authorized OfficialChristopher HartshornOfficer/authorized Official · (314) 800-2017
Enumeration DateJanuary 23, 2006
Last NPPES UpdateSeptember 17, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1740260926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in OH · 0750AS
4360 FULTON DR NW, Canton, OH 44718
Open in Google Maps ↗

Other Identifiers 1

Medicaid2533299OH

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 36D1027349

Stark Ambulatory Surgery Center LLC · Canton, OH
Active · expires Jun 27, 2028
CLIA Number36D1027349
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 28, 2026
Certificate Expiration DateJune 27, 2028
Laboratory DirectorNabil Fahmy
Laboratory Phone(330) 305-0303
Laboratory LocationStark Ambulatory Surgery Center LLC4360 Fulton Drive NW Suite C, Canton, OH 44718
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
406 services389 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
268 services266 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
130 services130 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
129 services128 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
40 services40 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
38 services37 patients

Other Providers at the Same Location NPPES 6

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

GLAUCOMA & EYE SPECIALISTS LLC
Ophthalmology (Glaucoma Specialist)
4360 FULTON DR NW, SUITE A
CANTON, OH 44718
Stark County (330) 433-0000
MANAL H ASSAAD
Specialist
4360 FULTON DR NW, SUITE A
CANTON, OH 44718
Stark County (330) 433-0000
DARIN JAMES VAUGHN PA-C
Physician Assistant
4360 FULTON DR NW, SUITE B
CANTON, OH 44718
Stark County (330) 305-2020
MANAL H ASSAAD MD
Ophthalmology
4360 FULTON DR NW, SUITE A
CANTON, OH 44718
Stark County (330) 433-0000
LAWRENCE E COHEN M.D.
Internal Medicine (Gastroenterology)
4360 FULTON DR NW, STE B
CANTON, OH 44718
Stark County (330) 305-2020
HANNAH BURRESS-BROWN PA-C
Physician Assistant
4360 FULTON DR NW
CANTON, OH 44718
Stark County (330) 305-2020

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 Ambulatory Surgery Center, LLC's NPI number?

The NPI number for Stark Ambulatory Surgery Center, LLC is 1740260926. It was assigned to this organization in the NPPES registry on January 23, 2006.

Where is Stark Ambulatory Surgery Center, LLC located?

Stark Ambulatory Surgery Center, LLC is located at 4360 Fulton Dr NW Suite C, Canton, OH 44718. The listed phone number is (330) 305-2020.

What is Stark Ambulatory Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Stark Ambulatory Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1027349) is associated with this NPI, valid through June 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Stark Ambulatory Surgery Center, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Stark Ambulatory Surgery Center, LLC 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 Ambulatory Surgery Center, LLC was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.