Individual provider Active NPI

Peter A. Irace, DO

  • Gastroenterology Physician
  • New Franklin, OH
National Provider Identifier
1235213281
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
34.033568 Issued in OH
Practice address
611 W Turkeyfoot Lake Rd
Ste D
New Franklin, OH 44319
Phone
(330) 645-1600
Fax
(330) 645-1488
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 34.033568 OH Primary

Addresses

Primary practice location

611 W Turkeyfoot Lake Rd
Ste D
New Franklin, OH 44319

Mailing address

611 W Turkeyfoot Lake Rd
Ste D
New Franklin, OH 44319
Phone (330) 645-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.033568OHMDGastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1235213281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W TURKEYFOOT LAKE RD",
            "address_2": "STE D",
            "city": "NEW FRANKLIN",
            "state": "OH",
            "postal_code": "44319",
            "telephone_number": "330-645-1600",
            "fax_number": "330-645-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W TURKEYFOOT LAKE RD",
            "address_2": "STE D",
            "city": "NEW FRANKLIN",
            "state": "OH",
            "postal_code": "44319",
            "telephone_number": "330-645-1600",
            "fax_number": "330-645-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRACE",
        "first_name": "PETER",
        "middle_name": "A.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "34.033568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Franklin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.