Healthcare Provider Details

I. General information

NPI: 1720237613
Provider Name (Legal Business Name): STEVEN MARK WILLARD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2008
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6555 FRANK AVE NW
NORTH CANTON OH
44720
US

IV. Provider business mailing address

6555 FRANK AVE NW
NORTH CANTON OH
44720-7265
US

V. Phone/Fax

Practice location:
  • Phone: 330-956-5300
  • Fax: 330-935-4603
Mailing address:
  • Phone: 330-956-5300
  • Fax: 330-935-4603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35.097619
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number35097619
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: