Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194050716 Individual Practitioner Male Practitioner

Dr. Daniel Paul Heatherly , DO

Pediatrics • Canton, OH

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Heatherly, DO is a registered healthcare professional specializing in Pediatrics in Canton, OH. Practice services are available at 919 2ND ST NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

919 2nd St Ne

Canton, OH 447041132

Telephone 3304533386
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Canton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
24 Specialists

Practicing in Canton, OH (3057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OH 010769

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0077444 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Grace Fruth , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1013703172

CPNPPC

Stacie Huff , CRNP, PMHS

Nurse Practitioner - Pediatrics

NPI 1285681502

Certified Registered Nurse Practitioner, PMHS

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 17, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 17, 2016

Registered at 919 2ND ST NE, CANTON, OH 447041132 (Tel: 3304533386)

📍
Updated Business Mailing Address May 17, 2016

Registered at 919 2ND ST NE, CANTON, OH 447041132 (Tel: 3304533386)

👤
Provider Name / Credentials Updated May 17, 2016

Recorded as DANIEL HEATHERLY, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2016

Pediatrics (License #010769 in OH)

🟢
Initial NPI Registration & Enumeration October 15, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194050716
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2009
Last Update: May 17, 2016
Sole Proprietor: No

Mailing Address

919 2nd St Ne

Canton, OH 447041132

Phone: 3304533386

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.