Organization · NPI-2
Ohio Physician Professional Corporation
Hospitalist · Canton, OH
NPI number1417016973
StatusActive
Last updated in NPPESSep 2, 2025
Details
- NPI
- 1417016973
- Entity type
- Organization (NPI-2)
- Legal business name
- Ohio Physician Professional Corporation
- Organization subpart
- No
- Enumeration date
- Dec 8, 2006
- Certification date
- Jul 10, 2024
- Last updated
- Sep 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | – | – | Yes |
| 208600000X | Surgery | – | – |
Other names
- Surgical Associates Of Canton (Doing Business As)
Practice location
2600 Sixth St SwCanton, OH 44710-1702
Phone 330-479-8705
Mailing address
Po Box 80690Canton, OH 44708-0690
Phone 330-479-8705 · Fax 330-479-9330
Authorized official
Matthew Stewart
President
3303634472
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