Active NPI
John Michael Vraciu, D.O.
- Child & Adolescent Psychiatry Physician
- Canton, OH
National Provider Identifier
1962638239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 34.010320
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Canton Psychiatry, LLC | Psychiatry | Current | Accepting new patients |
Locations
4773 Higbee Ave NW
Canton, OH 44718
Phone (330) 492-6500
Interoperability endpoints
- 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.
-
- Child & Adolescent Psychiatry Physician
- Canton, OH
- NPI 1528474459
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.