Active NPI
John M Brace DO & Associates Inc
- Otolaryngic Allergy Physician
- Ashtabula, OH
National Provider Identifier
1306154414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngic Allergy Physician
- License
- 34001908
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngic Allergy Physician | 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 DirectoryLocations
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.
-
- Ophthalmology Physician
- Lyndhurst, OH
- NPI 1154319333
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.