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Othello R Repuyan MD

Othello R Repuyan MD is a healthcare organization registered as Pediatrics Physician in Canton, OH, holding Type 2 (organization) NPI 1437254398 since 2006. The authorized official on file is Othello Repuyan, President.

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NPI 1437254398
Entity type Organization (Type 2)
Legal business name Othello R Repuyan MD
Other name <Unavail>
Practice address 4188 HOLIDAY ST NW, Canton, OH, 44718
Phone 3304924277
Fax 3304926973
Enumeration date 2006-09-14
Last updated in NPPES 2008-06-17

Authorized official

Name Othello Repuyan
Title President
Phone 3304924277

Taxonomy & classification

Taxonomy code Specialty Primary License State
208000000X Pediatrics Physician Primary

Other identifiers

Identifier Type State Issuer
2651750 Medicaid OH
Copy-ready billing details
Provider: Othello R Repuyan MD
NPI: 1437254398
Taxonomy: 208000000X (Pediatrics Physician)
Address: 4188 HOLIDAY ST NW, Canton, OH, 44718

Providers at this address

NPI Name Type Specialty Location
1801460860 Meridian Pediatrics Organization Pediatrics Physician Canton, OH

Verify this record

Cross-check NPI 1437254398 against the authoritative CMS record: view Othello R Repuyan MD on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Othello R Repuyan MD located?
The practice location on file with NPPES is in Canton, OH.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-06-17. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-06-17.