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Contact Information

STAR PEDIATRIC CARE
128 WERTZ AVE NW STE A
CANTON, OH44708-4196
 Phone: 330-621-0553
 Fax: 234-444-5387
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

2080P0204X 37 Physician/Pediatric Medicine
 

Children

282NC2000X A0[7] Hospital-Children’s (PPS excluded)
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for STAR PEDIATRIC CARE

NPI # 1619674637
LBN Legal business name STAR PEDIATRIC CARE
Authorized official ASIA EVERETT - (PRESIDENT/ CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/09/2023
Last updated 02/09/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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