# STAR PEDIATRIC CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619674637
- **Authorized official:** MS. ASIA ANNETTE EVERETT (PRESIDENT/ CEO)
- **Authorized official phone:** (330) 209-9945

## Contact information

- **Practice address:** 128 WERTZ AVE NW STE A, CANTON, OH 44708-4196
- **Practice address phone:** (330) 621-0553
- **Practice address fax:** (234) 444-5387
- **Mailing address:** 128 WERTZ AVE NW STE A, CANTON, OH 44708-4196
- **Mailing address phone:** (330) 621-0553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | — | NULL | Yes |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | — | — | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 282NC2000X | Children's Hospital | — | NULL | — |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 02/09/2023
- **Last updated:** 02/09/2023