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

Mazin Shackour, MD

Individual provider Surgery Physician · NPI 1992980783

Mazin Shackour, MD is a General Surgery in Canton, Ohio. Qualified in 2002, 24 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group and accepts Medicare assignment. Licensed in Illinois and Ohio.

Years since qualifying
24
Licensed in
IL, OH
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1330 Mercy Dr NW Ste 420
Canton, OH 44708-2626
Phone: (330) 580-4697
Fax: (330) 588-4698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 35120787 (OH)
Surgery Physician Taxonomy 208600000X · Licence 036171144 (IL)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 036171144 (IL)

Record details

NPI number1992980783
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 31, 2007
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025
Mailing address2665 Wingate Way Nw, Apt 4, Canton, OH 44708-8945

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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