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STAR PEDIATRIC CARE
NPI 1619674637
Pediatrics - Pediatric Emergency Medicine in Canton, OH

Active since February 09, 2023
128 WERTZ AVE NW STE A, CANTON, OH 44708(330) 621-0553(234) 444-5387 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Star Pediatric Care NPPES

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

STAR PEDIATRIC CARE (NPI 1619674637) is a healthcare organization registered as a pediatric emergency medicine in Canton, Ohio and active in the NPI registry since February 2023. The organization lists Asia Annette Everett, President/ Ceo, as its authorized official.

NPPES Registry Identity

NPI1619674637
Entity TypeOrganization
Primary Taxonomy2080P0204X
Legal Business NameSTAR PEDIATRIC CARE
Location Address128 WERTZ AVE NW STE ACanton, OH 44708-4196
Mailing Address128 Wertz Ave Nw Ste ACanton, OH 44708-4196 · (330) 621-0553
Phone(330) 621-0553
Fax(234) 444-5387
Organization SubpartNo
Authorized OfficialAsia Annette EverettPresident/ Ceo · (330) 209-9945
Enumeration DateFebruary 9, 2023
NPPES CertifiedFebruary 9, 2023
✔ NPI 1619674637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedGeneral Acute Care Hospital · ChildrenTaxonomy 282NC2000X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X
128 WERTZ AVE NW STE A, Canton, OH 44708
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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.

MARNA MARIE REVLOCK APRN
Nurse Practitioner (Adult Health)
128 WERTZ AVE NW STE A
CANTON, OH 44708
Stark County (330) 936-6863
EDGARDO A MALACAMAN MD
Pediatrics
128 WERTZ AVE NW STE A
CANTON, OH 44708
Stark County (330) 493-9903
VITALITY MED LLC
Clinic/Center (Health Service)
128 WERTZ AVE NW STE A
CANTON, OH 44708
Stark County (330) 936-6863
RICHARD A RAABE DPM INC
Podiatrist (Primary Podiatric Medicine)
128 WERTZ AVE NW STE A
CANTON, OH 44708
Stark County (330) 477-6265

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 Star Pediatric Care's NPI number?

The NPI number for Star Pediatric Care is 1619674637. It was assigned to this organization in the NPPES registry on February 9, 2023.

Where is Star Pediatric Care located?

Star Pediatric Care is located at 128 Wertz Ave NW Ste A, Canton, OH 44708. The listed phone number is (330) 621-0553.

What is Star Pediatric Care's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

When was this NPI record last updated?

The NPPES record for Star Pediatric Care was last updated on February 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.