MERIDIAN PEDIATRICS OF CANTON LLC – NPI #1437254398
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

MERIDIAN PEDIATRICS OF CANTON LLC is a provider located in CANTON, OH. NPPES has assigned the NPI number 1437254398 to MERIDIAN PEDIATRICS OF CANTON LLC on September 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MERIDIAN PEDIATRICS OF CANTON LLC” is a dba name, the actual legal business name for this organization is OTHELLO R REPUYAN MD. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 18 years ago on Jun 17, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MERIDIAN PEDIATRICS OF CANTON LLC below.

NPI Profile for
OTHELLO R REPUYAN MD

NPI Number
1437254398
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OTHELLO R REPUYAN MD
Doing Business As (dba): MERIDIAN PEDIATRICS OF CANTON LLC
Primary location
4188 HOLIDAY ST NW
CANTON, OH 44718
Phone: (330) 492-4277 Fax: (330) 492-6973
Mailing address
PO BOX 80690
CANTON, OH 44708
Phone: (330) 833-5530 Fax: (330) 833-6085
Organization Subpart
No
Authorized Official
OTHELLO REPUYAN
PRESIDENT
Phone: (330) 492-4277
Updated
Identifiers

Identifiers for MERIDIAN PEDIATRICS OF CANTON LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOH2651750
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.