Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eveline Rusdianto Klenotic, DO, FACS

Individual provider Surgery Physician · NPI 1801185541

Eveline Rusdianto Klenotic, DO, FACS is a General Surgery in Canton, Ohio. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2011, 15 years ago. Practices with Summa Physicians LLC, a 688-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas and Ohio.

Years since qualifying
15
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
AR, OH
In the registry since
2011
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
FACS — Fellow of the American College of Surgeons
A surgeon admitted as a fellow of the ACS.

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Practice location Address checks out

2600 Sixth St SW
Canton, OH 44710-1702
Phone: (330) 344-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4301 W Markham St # 725, Little Rock, AR 72205-7101 — (501) 296-1200

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 34.011721 (OH)
Surgery Physician Taxonomy 208600000X · Licence E-15091 (AR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OH)

Record details

NPI number1801185541
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO , FACS
Sole proprietorNo
NPI enumeratedApril 4, 2011
Last updated in NPPESJuly 19, 2023
Certification dateJuly 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2011 (15 years in practice)
Group practice Summa Physicians Llc — 688 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Canton