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E. A. MALACAMAN M. D. LLC
NPI 1295989002
Pediatrics in Canton, OH

Active since November 06, 2008CLIA 36D1090552 · Waiver
128 WERTZ AVE. N.W, STE. A, CANTON, OH 44708(330) 493-9903(330) 493-9956 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2025, Aug 29, 2019 (2 updates tracked since 2019).

About E. A. Malacaman M. D. Llc NPPES

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

E. A. MALACAMAN M. D. LLC (NPI 1295989002) is a healthcare organization registered as a pediatrics in Canton, Ohio and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through October 13, 2026 and lists Edgardo A. Malacaman, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1295989002
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameE. A. MALACAMAN M. D. LLC
Location Address128 WERTZ AVE. N.W, STE. ACanton, OH 44708
Mailing Address128 Wertz Ave. N.w, Ste. ACanton, OH 44708 · (330) 493-9903 · Fax (330) 493-9956
Phone(330) 493-9903
Fax(330) 493-9956
Organization SubpartNo
Authorized OfficialEdgardo A. MalacamanMedical Director · (330) 493-9903
Enumeration DateNovember 6, 2008
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
✔ NPI 1295989002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35034195
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.
128 WERTZ AVE. N.W, Canton, OH 44708
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Other Identifiers 1

Medicaid0209429OH

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 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 36D1090552

E A Malacaman MD · Canton, OH
Active · expires Oct 13, 2026
CLIA Number36D1090552
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2024
Certificate Expiration DateOctober 13, 2026
Laboratory DirectorEdgardo A. Malacaman
Laboratory Phone(330) 493-9903
Laboratory LocationE A Malacaman MD128 Wertz Ave NW, Suite A, Canton, OH 44708
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 E. A. Malacaman M. D. LLC's NPI number?

The NPI number for E. A. Malacaman M. D. LLC is 1295989002. It was assigned to this organization in the NPPES registry on November 6, 2008.

Where is E. A. Malacaman M. D. LLC located?

E. A. Malacaman M. D. LLC is located at 128 Wertz Ave. N.W Ste. A, Canton, OH 44708. The listed phone number is (330) 493-9903.

What is E. A. Malacaman M. D. LLC's specialty?

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

Does E. A. Malacaman M. D. LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1090552) is associated with this NPI, valid through October 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does E. A. Malacaman M. D. LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list E. A. Malacaman M. D. 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 E. A. Malacaman M. D. LLC was last updated on August 5, 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.