Othello R Repuyan Md
Pediatrics
Othello R Repuyan Md is a Canton, Ohio based Pediatric center with medical specialization in
General Pediatrics. Othello R Repuyan Md is doing business as
Meridian Pediatrics Of Canton Llc.
It is located at
4188 Holiday St Nw, Canton, Ohio - 44718. They can be contacted on phone at
330-492-4277 and fax number 330-492-6973.
NPI number (Unique professional ID) for Othello R Repuyan Md is
1437254398 which was assigned by NPPES on 14 Sep, 2006 and it was last updated on 17 Jun, 2008.
Othello R Repuyan Md is a pediatrician who 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.
Complete Profile:
Othello R Repuyan Md basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Othello R Repuyan Md |
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| Other Name : | Meridian Pediatrics Of Canton Llc |
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Business Address:
Othello R Repuyan Md address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4188 Holiday St Nw
Canton, OH, 44718
United States |
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| Phone Number : | 330-492-4277 |
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| Fax Number : | 330-492-6973 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1437254398 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 14 Sep, 2006 |
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| Last Updated On : | 17 Jun, 2008 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Othellor Repuyan |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 330-492-4277 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Othello R Repuyan Md are as mentioned. Primary taxonomy code for Othello R Repuyan Md is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Othello R Repuyan Md such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2651750 | MEDICAID | OH | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 80690
Canton, OH, 44708
United States |
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| Phone Number : | 330-833-5530 |
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| Fax Number : | 330-833-6085 |
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Business Location:
Patients can refer following map for directions to
Othello R Repuyan Md practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.