1. Home
  2. Directory
  3. Ohio
  4. Canton
  5. Pediatrics
  6. NPI Profile

MERIDIAN PEDIATRICS OF CANTON LLC
NPI 1437254398
Pediatrics in Canton, OH

Active since September 14, 2006CLIA 36D0343547 · Waiver
4188 HOLIDAY ST NW, CANTON, OH 44718(330) 492-4277(330) 492-6973 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Meridian Pediatrics Of Canton Llc NPPES

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

MERIDIAN PEDIATRICS OF CANTON LLC (NPI 1437254398) is a healthcare organization registered as a pediatrics in Canton, Ohio and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Othello R Repuyan, President, as its authorized official.

NPPES Registry Identity

NPI1437254398
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameOTHELLO R REPUYAN MD
Location Address4188 HOLIDAY ST NWCanton, OH 44718
Mailing AddressPo Box 80690Canton, OH 44708 · (330) 833-5530 · Fax (330) 833-6085
Phone(330) 492-4277
Fax(330) 492-6973
Organization SubpartNo
Authorized OfficialOthello R RepuyanPresident · (330) 492-4277
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJune 17, 2008
✔ NPI 1437254398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
4188 HOLIDAY ST NW, Canton, OH 44718
Open in Google Maps ↗

Other Names 1

Doing Business AsMeridian Pediatrics Of Canton Llc

Other Identifiers 1

Medicaid2651750OH

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 CareSource.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 36D0343547

Meridian Pediatrics Of Canton LLC · Canton, OH
Active · expires Aug 31, 2026
CLIA Number36D0343547
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorOthello Repuyan MD Faap
Laboratory Phone(330) 492-6492
Laboratory LocationMeridian Pediatrics Of Canton LLC4188 Holiday St NW, Canton, OH 44718
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MERIDIAN PEDIATRICS
Pediatrics
4188 HOLIDAY ST NW
CANTON, OH 44718
Stark County (330) 492-4277

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 Othello R Repuyan MD's NPI number?

The NPI number for Othello R Repuyan MD is 1437254398. It was assigned to this organization in the NPPES registry on September 14, 2006. The provider is doing business as Meridian Pediatrics Of Canton LLC.

Where is Othello R Repuyan MD located?

Othello R Repuyan MD is located at 4188 Holiday St NW, Canton, OH 44718. The listed phone number is (330) 492-4277.

What is Othello R Repuyan MD's specialty?

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

Does Othello R Repuyan MD hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0343547) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Othello R Repuyan MD accept?

Health plans from CareSource list Othello R Repuyan MD 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 Othello R Repuyan MD was last updated on June 17, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.