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STARK MRDD
NPI 1770603359
Public Health or Welfare in Canton, OH

Active since March 29, 2007
2950 WHIPPLE AVE NW, CANTON, OH 44708(330) 477-5200(330) 477-3337 Get Directions Write a Review

NPPES record last updated: April 30, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stark Mrdd NPPES

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

STARK MRDD (NPI 1770603359) is a healthcare organization registered as a public health or welfare in Canton, Ohio and active in the NPI registry since March 2007. The organization lists William Green, Superintendent, as its authorized official.

NPPES Registry Identity

NPI1770603359
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameSTARK COUNTY BOARD OF DD
Location Address2950 WHIPPLE AVE NWCanton, OH 44708-1534
Mailing Address2950 Whipple Ave NwCanton, OH 44708-1534 · (330) 479-3944 · Fax (330) 477-3337
Phone(330) 477-5200
Fax(330) 477-3337
Organization SubpartNo
Authorized OfficialWilliam GreenSuperintendent · (330) 479-3932
Enumeration DateMarch 29, 2007
Last NPPES UpdateApril 30, 2010
✔ NPI 1770603359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
2950 WHIPPLE AVE NW, Canton, OH 44708
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Other Names 1

Other NameStark Mrdd

Other Identifiers 2

Medicaid7600019OH
OtherHC1281OH · Home Choice Demonstration Program

Other Providers at the Same Location NPPES 16

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

MELANIE G BROYLES
Private Vehicle
2950 WHIPPLE AVE NW
CANTON, OH 44708
Stark County (330) 477-5200
ABBY WOOLF PT, DPT
Physical Therapist
2950 WHIPPLE AVE NW
CANTON, OH 44708
Stark County (330) 484-2547
LEYA KELLY REGISTERED NURSE
Registered Nurse
2950 WHIPPLE AVE NW
CANTON, OH 44708
Stark County (330) 477-5200
JANICE DAVID RN
Registered Nurse
2950 WHIPPLE AVE NW
CANTON, OH 44708
Stark County (330) 477-2545
AMANDA TABELLION PT
Physical Therapist (Pediatrics)
2950 WHIPPLE AVE NW
CANTON, OH 44708
Stark County (330) 477-5200
KELLY MILLER PTA
Physical Therapy Assistant
2950 WHIPPLE AVE NW
CANTON, OH 44708
Stark County (330) 477-5200
MELINDA KRISTOFF OTR/L
Occupational Therapist
2950 WHIPPLE AVE NW
CANTON, OH 44708
Stark County (330) 477-5200
DIANA LASHLEY
Registered Nurse
2950 WHIPPLE AVE NW
CANTON, OH 44708
Stark County (330) 479-3744

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 County Board Of Dd's NPI number?

The NPI number for Stark County Board Of Dd is 1770603359. It was assigned to this organization in the NPPES registry on March 29, 2007. The provider is also known as Stark Mrdd.

Where is Stark County Board Of Dd located?

Stark County Board Of Dd is located at 2950 Whipple Ave NW, Canton, OH 44708. The listed phone number is (330) 477-5200.

What is Stark County Board Of Dd's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

When was this NPI record last updated?

The NPPES record for Stark County Board Of Dd was last updated on April 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.