Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kerwin Joel Antonio Lupisan, MD

Individual provider Family Medicine Physician · NPI 1700104619

Kerwin Joel Antonio Lupisan, MD is a Family Practice in Canton, Ohio. Qualified in 2005, 21 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
21
Licensed in
OH
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4590 Dressler Rd NW
Canton, OH 44718-2546
Phone: (330) 484-1607
Fax: (330) 484-2943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35-121969 (OH)

Record details

NPI number1700104619
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 17, 2010
Last updated in NPPESJuly 28, 2023
Certification dateJuly 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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