Othello R Repuyan Md in Canton - Pediatrics
Othello R Repuyan Md - NPI 1437254398
Othello R Repuyan Md is a Pediatrics in Canton, Ohio. Othello R Repuyan Md practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Othello R Repuyan Md is 1437254398. The last update date is 2008-06-17.
Othello R Repuyan Md's current location address is Po Box 80690, Canton, Ohio. You can contact this provider via phone number 3308335530 and fax number 3308336085. The mailing address for Othello R Repuyan Md is Po Box 80690, Canton, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Othello R Repuyan Md |
|---|---|
| Address | Po Box 80690, Canton, Ohio |
| Phone Number | 3308335530 |
| Fax Number | 3308336085 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Repuyan R Othello |
| Credentials | MD |
| Telephone Number | 3304924277 |
NPI Number Detail
| NPI Number | 1437254398 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
| Address | Po Box 80690 |
|---|---|
| City | Canton |
| State | Ohio (OH) |
| Post Code | 44708 |
| Phone Number | 3308335530 |
| Fax Number | 3308336085 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2651750 | OH | -- |
Post Comment/ Review Below
What is the Othello R Repuyan Md's unique identification number?
The Othello R Repuyan Md has been assigned the NPI (National Provider Identifier) Number 1437254398 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Othello R Repuyan Md located?
The Othello R Repuyan Md is located at Po Box 80690, Canton, OH 44708.
What is Othello R Repuyan Md's area of expertise and its corresponding taxonomy classification?
The Othello R Repuyan Md's field of specialization is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Othello R Repuyan Md receive the assignment of its 1437254398 from the Centers for Medicare & Medicaid Services?
The Othello R Repuyan Md was issued its 1437254398 by the Centers for Medicare & Medicaid Services on 2006-09-14.
When was the information pertaining to Othello R Repuyan Md most recently updated or revised?
The details related to Othello R Repuyan Md, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-17.