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PEDIATRIC CENTER OF CANTON, LLC
NPI 1194037150
Pediatrics in Canton, OH

Active since July 07, 2010CLIA 36D1069123 · Waiver
4048 DRESSLER RD NW STE 203, CANTON, OH 44718(330) 456-9939(330) 456-3212 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Center Of Canton, Llc NPPES

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

PEDIATRIC CENTER OF CANTON, LLC (NPI 1194037150) is a healthcare organization registered as a pediatrics in Canton, Ohio and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through May 29, 2027, maintains a secondary practice location in Canton, and lists Julia Banta, Om/cma, as its authorized official.

NPPES Registry Identity

NPI1194037150
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC CENTER OF CANTON, LLC
Location Address4048 DRESSLER RD NW STE 203Canton, OH 44718-2784
Mailing Address4048 Dressler Rd Nw Ste 203Canton, OH 44718-2784 · (330) 456-9939 · Fax (330) 456-3212
Phone(330) 456-9939
Fax(330) 456-3212
Organization SubpartNo
Authorized OfficialJulia BantaOm/cma · (330) 456-9939
Enumeration DateJuly 7, 2010
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
✔ NPI 1194037150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in OH · 34.008837✔ Licensed in OH · 35.047428
Definition
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.
4048 DRESSLER RD NW STE 203, Canton, OH 44718
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Secondary Practice Location 1

Location 11445 Harrison Ave. NW, Suite 300 & 306Canton, OH 44708 · Phone (330) 456-9939 · Fax (330) 456-3212

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 36D1069123

Pediatric Center Of Canton LLC · Canton, OH
Active · expires May 29, 2027
CLIA Number36D1069123
Laboratory TypePhysician Office
Certificate Effective DateMay 30, 2025
Certificate Expiration DateMay 29, 2027
Laboratory DirectorMeena Rawal
Laboratory Phone(330) 456-9939
Laboratory LocationPediatric Center Of Canton LLC4048 Dressler Road NW, Suite 203, Canton, OH 44718
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.

MEENA ARORA RAWAL D.O
Pediatrics
4048 DRESSLER RD NW STE 203
CANTON, OH 44718
Stark County (330) 456-9939
ISH RAWAL MD
Internal Medicine
4048 DRESSLER RD NW STE 203
CANTON, OH 44718
Stark County (330) 956-5236
TOTAL MEDICAL CARE
Internal Medicine
4048 DRESSLER RD NW STE 203
CANTON, OH 44718
Stark County (330) 956-5236

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 Pediatric Center Of Canton, LLC's NPI number?

The NPI number for Pediatric Center Of Canton, LLC is 1194037150. It was assigned to this organization in the NPPES registry on July 7, 2010.

Where is Pediatric Center Of Canton, LLC located?

Pediatric Center Of Canton, LLC is located at 4048 Dressler Rd NW Ste 203, Canton, OH 44718. The listed phone number is (330) 456-9939.

What is Pediatric Center Of Canton, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pediatric Center Of Canton, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1069123) is associated with this NPI, valid through May 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatric Center Of Canton, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Pediatric Center Of Canton, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Center Of Canton, LLC was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.