E. a. Malacaman M. D. LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35034195 Issued in OH

Legal business name

E. A. MALACAMAN M. D. LLC

Practice address

128 Wertz Ave. N.W
Ste. a
Canton, OH 44708

Phone

(330) 493-9903

Fax

(330) 493-9956

NPI assigned

Nov 6, 2008

Organization subpart

No

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

Authorized official

Name

Edgardo A. Malacaman, M.D.NPI 1588779078

Title

Medical Director

Phone

(330) 493-9903

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edgardo A Malacaman, MD

  • Pediatrics Physician
  • Canton, OH
  • NPI 1588779078
  NPD (past) Authorized official

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1295989002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 WERTZ AVE. N.W",
            "address_2": "STE. A",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44708",
            "telephone_number": "330-493-9903",
            "fax_number": "330-493-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 WERTZ AVE. N.W",
            "address_2": "STE. A",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44708",
            "telephone_number": "330-493-9903",
            "fax_number": "330-493-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. A. MALACAMAN M. D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "MALACAMAN",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "330-493-9903",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35034195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0209429",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronnie Dykes
• Kyle Dynes
• Inessa A Dzhaun
• Kristine Dziurzynski, M.D.
• Kaitlyn Marie Dzuroff, PT, DPT, AT
• Susanne M Eakin, FNP-C
• Charley Cathleen Eakle
• Abbey Claire Earich, ATC
• Damien Eugene Earl, MD, PHD
• Deaunna Earley

• Pediatrics Physician in Canton, OH
• Providers in Canton, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.