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PIONEER PHYSICIANS NETWORK INC
NPI 1174296172
Family Medicine in Canton, OH

Active since July 27, 2021CLIA 36D2282645 · Waiver
5454 FULTON DR NW, CANTON, OH 44718(330) 899-1051(330) 634-1329 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pioneer Physicians Network Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PIONEER PHYSICIANS NETWORK INC (NPI 1174296172) is a healthcare organization registered as a family medicine in Canton, Ohio and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through May 23, 2027 and lists Paula Moore, Credentialing Liaision, as its authorized official.

NPPES Registry Identity

NPI1174296172
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePIONEER PHYSICIANS NETWORK INC
Location Address5454 FULTON DR NWCanton, OH 44718-1727
Mailing Address3515 Massillon Rd Ste 300Uniontown, OH 44685-7854 · (234) 271-3353 · Fax (330) 899-9267
Phone(330) 899-1051
Fax(330) 634-1329
Organization SubpartNo
Authorized OfficialPaula MooreCredentialing Liaision · (234) 271-3353
Enumeration DateJuly 27, 2021
NPPES CertifiedJuly 27, 2021
✔ NPI 1174296172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5454 FULTON DR NW, Canton, OH 44718
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Other Identifiers 1

Medicaid0194267OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2282645

Pioneer Physicians Network · Uniontown, OH
Active · expires May 23, 2027
CLIA Number36D2282645
Laboratory TypePractitioner Other
Certificate Effective DateMay 24, 2025
Certificate Expiration DateMay 23, 2027
Laboratory DirectorLindsay Brasko
Laboratory Phone(234) 271-3353
Laboratory LocationPioneer Physicians Network3515 Massillon Rd Suite 300, Uniontown, OH 44685
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREMIER FOOT & ANKLE CARE LLC
Podiatrist
5454 FULTON DR NW
CANTON, OH 44718
Stark County (330) 899-1051
GEORGE M KEMPER JR DPM INC
Podiatrist
5454 FULTON DR NW
CANTON, OH 44718
Stark County (330) 433-0123
DR. GEORGE MADSON KEMPER JR. D.P.M.
Podiatrist
5454 FULTON DR NW
CANTON, OH 44718
Stark County (330) 433-0123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pioneer Physicians Network Inc's NPI number?

The NPI number for Pioneer Physicians Network Inc is 1174296172. It was assigned to this organization in the NPPES registry on July 27, 2021.

Where is Pioneer Physicians Network Inc located?

Pioneer Physicians Network Inc is located at 5454 Fulton Dr NW, Canton, OH 44718. The listed phone number is (330) 899-1051.

What is Pioneer Physicians Network Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Pioneer Physicians Network Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2282645) is associated with this NPI, valid through May 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pioneer Physicians Network Inc was last updated on July 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.