Canton Family Healthcare LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CANTON FAMILY HEALTHCARE LLC

Practice address

4590 Dressler Rd NW
Canton, OH 44718-2546

Phone

(330) 484-1607

Fax

(330) 484-2943

NPI assigned

Nov 11, 2016

Last updated

Aug 17, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Maria Angelica Marasigan Lupisan, MSN, APRN, FNP-CNPI 1437737566

Title

Office Manager

Phone

(330) 484-1607

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15050/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Angelica Marasigan Lupisan, APRN, NP-C

  • Family Nurse Practitioner
  • Canton, OH
  • NPI 1437737566
  Medicare reassignment NPD Authorized official
• Kerwin Joel Antonio Lupisan, MD

  • Family Medicine Physician
  • Canton, OH
  • NPI 1700104619
  Medicare reassignment NPD
• Delia Marasigan Slaga, MD

  • Legal Medicine
  • Massillon, OH
  • NPI 1881651594
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1235671926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4590 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182546",
            "telephone_number": "330-484-1607",
            "fax_number": "330-484-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4590 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182546",
            "telephone_number": "330-484-1607",
            "fax_number": "330-484-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON FAMILY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-11",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "LUPISAN",
        "authorized_official_first_name": "MARIA ANGELICA",
        "authorized_official_middle_name": "MARASIGAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-484-1607",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canton City School District
• Canton College Preparatory School
• Canton Community Kidsummit Against Drugs (KidSummit Against Drugs)
• Canton Endovascular & Cardiothoracic Surgery, LLC
• Canton Family Dentistry
• Canton Friendship Center, Inc.
• Canton General Surgery Associates, Inc.
• Canton Injury Center LLC
• Canton Internal Medicine Associates Ince
• Canton Ophthalmology Associates, Inc.

• Primary Care Clinic/Center in Canton, OH
• Providers in Canton, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.