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Active NPI 1992980783 Individual Practitioner Male Practitioner

Dr. Mazin Shackour , MD

Surgery • Canton, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mazin Shackour, MD is a certified Surgery practicing in Canton, OH. With approximately 24 years of clinical experience since completing medical education in 2002, Dr. Shackour delivers high-quality medical care to the local community at 1330 MERCY DR NW.

Dr. Shackour is affiliated with Osf Multi-Specialty Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, follow-up hospital inpatient care per day, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1330 Mercy Dr Nw
Suite 420

Canton, OH 447082626

Telephone 3305804697
Fax 3305884698
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Canton, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +2.6 yrs vs City Avg
City Avg: 21.4 Yrs
State Avg: 24.9 Yrs
Regional Practice Density
25 Specialists

Practicing in Canton, OH (1313 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shackour (24 Years) 24 Yrs
Canton Specialty Average (21.4 Years) 21.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
18 17 $148.00 $62.73

Medical Specialties & State Licenses

CMS Verified: 2025-08-18
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35120787

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License IL 036171144

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Surgical Critical Care

NUCC Taxonomy Code: 2086S0102X

State License IL 036171144

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0084650 (OH)

Hospital & Practice Group Affiliations

Osf Multi-Specialty Group

1001 Main St, Peoria, IL 616062036

Phone: 3096914005

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
Dr. John Nadas , MD

Psychiatry & Neurology - Psychiatry

NPI 1104922798

Doctor of Medicine (M.D.)

NPI 1124009436

Doctor of Medicine (M.D.)

NPI 1134120504

Doctor of Medicine (M.D.)

NPI 1154302461

Doctor of Medicine (M.D.)

Jonathan Schondel

Nurse Practitioner - Acute Care

NPI 1164390118
Amanda Johnson , MSN, AGNP

Nurse Practitioner - Adult Health

NPI 1235502303

Master of Science in Nursing, Adult-Gerontology Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2025

Surgery (License #036171144 in IL)

NPI Profile Active June 19, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2013

Registered at 1330 MERCY DR NW, SUITE 420, CANTON, OH 447082626 (Tel: 3305804697)

📍
Updated Business Mailing Address June 19, 2013

Registered at 2665 WINGATE WAY NW, APT 4, CANTON, OH 447088945

👤
Provider Name / Credentials Updated June 19, 2013

Recorded as MAZIN SHACKOUR, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2013

Surgery (License #35120787 in OH)

🟢
Initial NPI Registration & Enumeration December 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992980783
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 31, 2007
Last Update: August 18, 2025
Sole Proprietor: No

Mailing Address

2665 Wingate Way Nw, Apt 4

Canton, OH 447088945

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.