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STARK PRIMARY CARE, LLC
NPI 1851578249
Internal Medicine in Canton, OH

Active since January 28, 2008
1455 HARRISON AVE NW, SUITE 108, CANTON, OH 44708(330) 455-4999 Get Directions Write a Review

NPPES record last updated: September 5, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stark Primary Care, Llc NPPES

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

STARK PRIMARY CARE, LLC (NPI 1851578249) is a healthcare organization registered as an internal medicine in Canton, Ohio and active in the NPI registry since January 2008. The organization lists Venkatesan Ravishankar, President, as its authorized official.

NPPES Registry Identity

NPI1851578249
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSTARK PRIMARY CARE, LLC
Location Address1455 HARRISON AVE NW, SUITE 108Canton, OH 44708-2621
Mailing Address1455 Harrison Ave Nw, Suite 108Canton, OH 44708-2621 · (330) 455-4999
Phone(330) 455-4999
Organization SubpartNo
Authorized OfficialVenkatesan RavishankarPresident · (330) 455-4999
Enumeration DateJanuary 28, 2008
Last NPPES UpdateSeptember 5, 2013
✔ NPI 1851578249 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 · 35072622
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.
1455 HARRISON AVE NW, Canton, OH 44708
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Other Identifiers 2

Medicare UPING29298OH
Medicare PIN9373391OH

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

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 ›

Other Providers at the Same Location NPPES 10

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

DR. MITCHELL HAUT M.D.
Internal Medicine (Hematology & Oncology)
1455 HARRISON AVE NW, STE 105
CANTON, OH 44708
Stark County (330) 453-9993
ROBERT HAMILTON III MD
Obstetrics & Gynecology
1455 HARRISON AVE NW, SUITE 202
CANTON, OH 44708
Stark County (330) 453-7339
MRS. JESSICA LYNN MCCUNE MSN FNP
Nurse Practitioner (Family)
1455 HARRISON AVE NW
CANTON, OH 44708
Stark County (330) 956-5236
DR. BERNHARD BERGER MD
Obstetrics & Gynecology
1455 HARRISON AVE NW, SUITE 204
CANTON, OH 44708
Stark County (330) 456-7965
HEMATOLOGY & ONCOLOGY ASSOCIATES, INC
Internal Medicine (Hematology & Oncology)
1455 HARRISON AVE NW, SUITE 104
CANTON, OH 44708
Stark County (330) 453-9993
DR. CAROLINE HONG DDS
Dentist
1455 HARRISON AVE NW, SUITE 200
CANTON, OH 44708
Stark County (330) 994-0205
CHRISTINA MARIE MILLS MSN, RN, CNP
Nurse Practitioner (Adult Health)
1455 HARRISON AVE NW, SUITE 105
CANTON, OH 44708
Stark County (330) 453-9993
MS. TRACI M. MORELAND MPA-C
Physician Assistant
1455 HARRISON AVE NW, SUITE 105
CANTON, OH 44708
Stark County (330) 453-9993

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 Primary Care, LLC's NPI number?

The NPI number for Stark Primary Care, LLC is 1851578249. It was assigned to this organization in the NPPES registry on January 28, 2008.

Where is Stark Primary Care, LLC located?

Stark Primary Care, LLC is located at 1455 Harrison Ave NW Suite 108, Canton, OH 44708. The listed phone number is (330) 455-4999.

What is Stark Primary Care, LLC's specialty?

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

What insurance does Stark Primary Care, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Stark Primary Care, 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 Primary Care, LLC was last updated on September 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.