| Diabetes & Endocrinology Associates Of Stark County Incorporated | |
|
4565 Dressler Rd Nw Suite #111 Canton OH 44718-2579 | |
| (330) 493-0013 | |
| (330) 493-6973 |
| Full Name | Diabetes & Endocrinology Associates Of Stark County Incorporated |
|---|---|
| Speciality | Internal Medicine |
| Location | 4565 Dressler Rd Nw, Canton, Ohio |
| Authorized Official Name and Position | Arvind Y Krishna (OWNER) |
| Authorized Official Contact | 3304930013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes & Endocrinology Associates Of Stark County Incorporated 4565 Dressler Rd Nw Suite #111 Canton OH 44718-2579 Ph: (330) 493-0013 | Diabetes & Endocrinology Associates Of Stark County Incorporated 4565 Dressler Rd Nw Suite #111 Canton OH 44718-2579 Ph: (330) 493-0013 |
| NPI Number | 1003841669 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 02/05/2014 |
| Medicare PECOS PAC ID | 4880628569 |
|---|---|
| Medicare Enrollment ID | O20050922000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003841669 | NPI | - | NPPES |
| 0632622 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Margaret A Koenig |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174536452 PECOS PAC ID: 4082630074 Enrollment ID: I20051019000461 |
| Provider Name | Arvind Y Krishna |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275579542 PECOS PAC ID: 8628263977 Enrollment ID: I20101111000988 |
| Provider Name | Kristie L Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295014629 PECOS PAC ID: 6103055397 Enrollment ID: I20140211000636 |
| Provider Name | Heidi M Daugherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346497906 PECOS PAC ID: 6103056775 Enrollment ID: I20140226001702 |
| Provider Name | Laura H Fries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154781730 PECOS PAC ID: 1759688518 Enrollment ID: I20160323000632 |
| Provider Name | Kelli J Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255880779 PECOS PAC ID: 3476831967 Enrollment ID: I20161104000037 |
| Provider Name | Beth Anne Lawrence |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538679808 PECOS PAC ID: 2668734088 Enrollment ID: I20180323001420 |
| Provider Name | Julia Anne Sturm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144094335 PECOS PAC ID: 4385093863 Enrollment ID: I20231208002303 |
| Provider Name | Sanjana Bhattarai Pandey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417722497 PECOS PAC ID: 7315396702 Enrollment ID: I20231211002173 |
Canton Community Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2725 Lincoln St E, Canton, OH 44707 Phone: 330-454-2000 Fax: 330-454-7284 | |
Premier Health And Wellness Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4774 Munson St Nw, Canton, OH 44718 Phone: 330-754-4431 Fax: 330-777-5499 | |
Skill Doc 101, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4580 Stephens Cir Nw Ste 202, Canton, OH 44718 Phone: 330-754-4431 Fax: 330-244-8839 | |
Guiding Paths Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6545 Market Ave N, Canton, OH 44721 Phone: 330-510-4533 | |
Pinnacle Wound Providers, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4580 Stephens Cir Nw Ste 202, Canton, OH 44718 Phone: 330-754-4431 Fax: 330-244-8839 | |
Apex Physical Medicine, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4883 Dressler Rd Nw Ste 100, Canton, OH 44718 Phone: 330-479-9193 Fax: 330-479-9165 |