OrganizationActive
Pediatric Center of Canton, LLC
NPI 1194037150 · Pediatrics Physician · Canton, OH
Provider details
- NPI number
- 1194037150
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Julia Banta, Om/Cma(330) 456-9939
- License
- 35.047428 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4048 Dressler Rd Nw Ste 203
Canton, OH 44718-2784
Phone: (330) 456-9939
Fax: (330) 456-3212
Street-level locationGet directions
Mailing address
4048 Dressler Rd Nw Ste 203
Canton, OH 44718-2784
Additional practice locations (1)
- 1445 Harrison Ave. NwSuite 300 & 306Canton, OH 44708Phone: (330) 456-9939Fax: (330) 456-3212
Registry dates
- Enumerated
- 2010-07-07
- Last updated
- 2025-07-22
- Certified
- 2025-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.