Organization Active NPI

Brian R. Cain, M.D. and Associates

  • Primary Care Clinic/Center
  • Mogadore, OH
National Provider Identifier
1306294947
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
35061748 Issued in OH
Legal business name
BRIAN R. CAIN, M.D. AND ASSOCIATES
Practice address
754 S Cleveland Ave Ste 300
Mogadore, OH 44260-2210
Phone
(330) 877-3008
Fax
(330) 877-3032
NPI assigned
May 24, 2016
Last updated
Sep 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Authorized official

Name
Brian R. Cain, M.D.NPI 1417951039
Title
President
Phone
(330) 351-2873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 35061748 OH Primary

Addresses

Primary practice location

754 S Cleveland Ave Ste 300
Mogadore, OH 44260-2210

Mailing address

500 N Prospect Ave
Hartville, OH 44632-9318
Phone (330) 877-3008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161025002207 OH Part B Supplier - Clinic/Group Practice 6800174954 Receives reassigned benefits from 3 practitioners
Practice locations: Mogadore, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2115006Brian R Cain MD and Associates LLC754 S Cleveland Ave Ste 300, Mogadore, OH 44260Certificate of waiverJun 26, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1306294947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N PROSPECT AVE",
            "city": "HARTVILLE",
            "state": "OH",
            "postal_code": "446329318",
            "telephone_number": "330-877-3008",
            "fax_number": "330-877-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 S CLEVELAND AVE STE 300",
            "city": "MOGADORE",
            "state": "OH",
            "postal_code": "442602210",
            "telephone_number": "330-877-3008",
            "fax_number": "330-877-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN R. CAIN, M.D. AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-24",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-351-2873",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "35061748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mogadore, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.