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Active NPI 1588779078 Individual Practitioner Male Practitioner

Dr. Edgardo A Malacaman , MD

Pediatrics • Canton, OH

Professional Overview & Biography Verified Profile Summary

Dr. Edgardo Malacaman, MD is a registered healthcare professional specializing in Pediatrics in Canton, OH. Practice services are available at 128 WERTZ AVE NW STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

128 Wertz Ave Nw Ste A

Canton, OH 447084196

Telephone 3304939903
Fax 3304939956
Associated Practice Facility / Clinic
🏢 Richard A Raabe Dpm Inc Facility NPI 1982850525

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

CMS Verified: 2025-08-04
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OH 35034195

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
0209429 (OH)
Medicaid State Provider ID
1295989002 (OH)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Marna Revlock , APRN

Nurse Practitioner - Adult Health

NPI 1407512304

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location May 07, 2025

Registered at 128 WERTZ AVE NW STE A, CANTON, OH 447084196 (Tel: 3304939903)

📍
Updated Business Mailing Address May 07, 2025

Registered at 128 WERTZ AVE NW STE A, CANTON, OH 447084196 (Tel: 3304939903)

📍
Updated Practice Location August 29, 2019

Registered at 3120 PARKWAY ST. NW STE C., CANTON, OH 44708 (Tel: 3304939903)

📍
Updated Business Mailing Address August 29, 2019

Registered at 3120 PARKWAY ST. NW STE C., CANTON, OH 44708 (Tel: 3304939903)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4900 FRANK RD NW, NORTH CANTON, OH 44720 (Tel: 3304949797)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 80690, CANTON, OH 44708 (Tel: 3308335530)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EDGARDO MALACAMAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #35034195 in OH)

🟢
Initial NPI Registration & Enumeration August 21, 2006

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: 1588779078
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2006
Last Update: August 04, 2025
Sole Proprietor: No

Mailing Address

128 Wertz Ave Nw Ste A

Canton, OH 447084196

Phone: 3304939903

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.