CANTON FAMILY HEALTHCARE LLC
NPI 1235671926
Clinic/Center - Primary Care in Canton, OH

Active since November 11, 2016CLIA 36D2122510 · Waiver
4590 DRESSLER RD NW, CANTON, OH 44718(330) 484-1607(330) 484-2943 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 17, 2022, Nov 11, 2016 (2 updates tracked since 2016).

About Canton Family Healthcare Llc NPPES

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

CANTON FAMILY HEALTHCARE LLC (NPI 1235671926) is a healthcare organization registered as a primary care in Canton, Ohio and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through November 29, 2026 and lists Maria Angelica Marasigan Lupisan, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1235671926
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCANTON FAMILY HEALTHCARE LLC
Location Address4590 DRESSLER RD NWCanton, OH 44718-2546
Mailing Address4590 Dressler Rd NwCanton, OH 44718-2546 · (330) 484-1607 · Fax (330) 484-2943
Fax(330) 484-2943
Organization SubpartNo
Authorized OfficialMaria Angelica Marasigan LupisanOffice Manager · (330) 484-1607
Enumeration DateNovember 11, 2016
Last NPPES UpdateAugust 17, 20222 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
NPI 1235671926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4590 DRESSLER RD NW, Canton, OH 44718

Accepted 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 36D2122510

Canton Family Healthcare, LLC · Canton, OH
Active · expires Nov 29, 2026
CLIA Number36D2122510
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2024
Certificate Expiration DateNovember 29, 2026
Laboratory DirectorKerwin J. Lupisan
Laboratory Phone(330) 484-1607
Laboratory LocationCanton Family Healthcare, LLC4590 Dressler Rd NW, 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 4

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

Psychiatry & Neurology (Neurology)
4590 DRESSLER RD NW
CANTON, OH 44718
Urology
4590 DRESSLER RD NW
CANTON, OH 44718
Nurse Practitioner (Family)
4590 DRESSLER RD NW
CANTON, OH 44718
Family Medicine
4590 DRESSLER RD NW
CANTON, OH 44718

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235671926, enumerated as an "organization" on November 11, 2016.

The provider is located at 4590 DRESSLER RD NW CANTON, OH 44718 and the phone number is (330) 484-1607.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

The provider might be accepting Accepts: CareSource and Molina Healthcare. Please consult your insurance carrier or call the provider to verify.