OrganizationActive
Skill Doc 101, LLC
NPI 1043647803 · Internal Medicine Physician · Canton, OH
Provider details
- NPI number
- 1043647803
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brian Mcclain, Ceo(330) 754-4431
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
236 3rd St Sw
Canton, OH 44702-1607
Phone: (330) 754-4431
Fax: (330) 244-8839
Street-level locationGet directions
Mailing address
236 3rd St Sw
Canton, OH 44702-1607
Registry dates
- Enumerated
- 2013-10-10
- Last updated
- 2025-06-08
- Certified
- 2025-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.