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PEDIATRIC CENTER OF CANTON LLC NPI 1194037150


NPI Information

NPI: 1194037150
Provider Name: PEDIATRIC CENTER OF CANTON, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 36D1069123

Address:
1445 HARRISON AVE. NW
SUITE 300 & 306
CANTON, OH
ZIP 44708
Phone: (330) 456-9939
Get Directions

PEDIATRIC CENTER OF CANTON, LLC is a pediatrics in Canton, OH. The provider is 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. PEDIATRIC CENTER OF CANTON, LLC NPI is 1194037150. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1445 HARRISON AVE. NW
SUITE 300 & 306
CANTON, OH
ZIP 44708
Phone: (330) 456-9939
Fax: (330) 456-3212

The provider's authorized official is Neelam Grover Arora .
The authorized official title is M.d. and has the following contact phone number (330) 456-9939.

The CLIA number assigned to this NPI record is 36D1069123 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2010 and was last updated on 7/7/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics34.008837OHIONo
2208000000XPediatrics35.047428OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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