Individual provider Active NPI

John Michael Vraciu, D.O.

  • Child & Adolescent Psychiatry Physician
  • Canton, OH
National Provider Identifier
1962638239
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
34.010320 Issued in OH
Practice address
4773 Higbee Ave NW
Canton, OH 44718-2551
Phone
(330) 492-6500
Fax
(330) 492-6502
NPI assigned
Jun 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 34.010320 OH
Child & Adolescent Psychiatry Physician 2084P0804X 34.010320 OH Primary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 34.010320 OH

Addresses

Primary practice location

4773 Higbee Ave NW
Canton, OH 44718-2551

Mailing address

4773 Higbee Ave NW
Canton, OH 44718-2551
Phone (330) 492-6500

Other names 1

  • Dr. John Michael Vraciu Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191015000808 OH Practitioner - Psychiatry 9931428489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Ohio University, College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Canton Psychiatry LLCGroup PAC ID 5991036477, 3 clinicians

Practice addresses (Care Compare)

4773 Higbee Ave NW
Canton, OH 44718-2551
Phone (330) 492-6500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Canton Psychiatry, LLC Psychiatry CurrentSince Jul 1, 2014 Accepting new patients

Locations

4773 Higbee Ave NW
Canton, OH 44718
Phone (330) 492-6500

Interoperability endpoints

  • Direct secure messaging: greatercantonpsychiatry.johnvraciu@128532.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1962638239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4773 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182551",
            "telephone_number": "330-492-6500",
            "fax_number": "330-492-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4773 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182551",
            "telephone_number": "330-492-6500",
            "fax_number": "330-492-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VRACIU",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34.010320",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "34.010320",
            "primary": true
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "OH",
            "license": "34.010320",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "VRACIU",
            "middle_name": "MICHAEL",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.