Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Stacey Marie Diantonio, PA-C

Individual provider Physician Assistant · NPI 1215211529

MS. Stacey Marie Diantonio, PA-C is a Physician Assistant in Canton, Ohio. Qualified in 2011, 15 years ago. Practices with Apex Dermatology and Skin Surgery Center, LLC, a 52-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
15
Licensed in
OH
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4124 Munson St NW
Canton, OH 44718-2979
Phone: (234) 410-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 214 W Bowery St, Akron, OH 44308-1046 — (330) 543-4649

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 003342 (OH)

Record details

NPI number1215211529
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 5, 2011
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Apex Dermatology And Skin Surgery Center, Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Canton