Organization Active NPI

John M Brace DO & Associates Inc

  • Otolaryngic Allergy Physician
  • Ashtabula, OH
National Provider Identifier
1306154414
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
License
34001908 Issued in OH
Legal business name
JOHN M BRACE DO & ASSOCIATES INC
Practice address
2334 Lake Ave
Ashtabula, OH 44004-3440
Phone
(440) 992-0846
Fax
(440) 992-7879
NPI assigned
Sep 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
John M. Brace, D.O.
Title
Owner/Physician
Phone
(440) 992-0846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0602X 34001908 OH Primary

Addresses

Primary practice location

2334 Lake Ave
Ashtabula, OH 44004-3440

Mailing address

2334 Lake Ave
Ashtabula, OH 44004-3440
Phone (440) 992-0846

National Provider Directory

National Provider Directory

Locations

2334 Lake Ave
Ashtabula, OH 44004
Phone (216) 992-0846

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1306154414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043440",
            "telephone_number": "440-992-0846",
            "fax_number": "440-992-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043440",
            "telephone_number": "440-992-0846",
            "fax_number": "440-992-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M BRACE DO & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "BRACE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "440-992-0846",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "OH",
            "license": "34001908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.