DR. JOHN MARSHALL BROOKE (NPI# 1497813935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497813935 |
| Entity Type | Individual |
| Full Name | DR. JOHN MARSHALL BROOKE |
| Credential | DDS |
| Practice Address |
250 S Chestnut St Ravenna OH 44266-3031 |
| Practice Telephone | 3302977009 |
| Mailing Telephone | 3302977009 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2010-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
OH15402 | OH | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0468597 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588662126 | John Cunningham Brooke | Psychologist | 4324 7th St, Moline, IL 61265-6867 | 2005-07-08 |
| 1598733933 | John Daniel Brooke | Pathology | 6116 E Warren Ave, Denver, CO 80222-5752 | 2006-03-10 |
| Street Address |
250 S CHESTNUT ST |
| City | RAVENNA |
| State | OH |
| Zip Code | 44266-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942616545 | Noor Almudallal | Dentist | 250 S Chestnut St, Suite 30, Ravenna, OH 44266-3031 | 2014-07-03 |
| 1710324439 | Elif Duysal Aksoylu | Dentist | 250 S Chestnut St, Suite 30, Ravenna, OH 44266-3031 | 2013-06-04 |
| 1275710840 | Naheed Mohamed | Dentist | 250 S Chestnut St, Suite 30, Ravenna, OH 44266-3031 | 2008-01-25 |
| 1396861944 | William R Braden | Dentist | 250 S Chestnut St, Suite #36, Ravenna, OH 44266-3031 | 2007-03-22 |
| 1144386673 | Robert S Guminey | Dentist | 250 S Chestnut St, Ravenna, OH 44266-3031 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407409501 | Jeffrey Michael Jones | Hearing Instrument Specialist | 131 E. Hain St Beltone Hearing Care Center, Ravenna, OH 44266 | 2019-07-18 |
| 1285286443 | Robert Ailes Lax | Counselor | 246 S. Chestnut St., Ravenna, OH 44266 | 2019-07-09 |
| 1841792314 | Jason Troyer | Case Manager/Care Coordinator | 3920 Lover's Lane, Ravenna, OH 44266 | 2018-03-01 |
| 1316446370 | Jacquelin Grace Claren | Case Manager/Care Coordinator | 3920 Lovers Lane, Ravenna, OH 44266 | 2018-02-06 |
| 1164921318 | Tammy M Morris | Counselor | 4771 Washington Ave., Ravenna, OH 44266 | 2018-02-02 |
| 1306360219 | Megan Kathryn Marsh | Nurse Practitioner | 3215 Menough Rd, Ravenna, OH 44266 | 2017-08-01 |
| 1063875110 | Mary Kathryn Revello | Home Health Aide | 103 N.scycamore St, Ravenna 44266, OH 44266 | 2016-04-05 |
| 1396114302 | Theresa Brooks Kotlar | Registered Nurse | 7174 Colonial Place, Ravenna, OH 44266 | 2015-09-20 |
| 1811384118 | Okap Kwon Md Inc | Internal Medicine | 964 East Main Street, Ravenna, OH 44266 | 2015-04-24 |
| 1104223783 | Julie Winkler | Speech-Language Pathologist | 639 W. Main St, Ravenna, OH 44266 | 2014-11-26 |
| Find all providers in zip 44266 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902941594 | David E Chlysta | Dentist | 6693 N Chestnut Street, Suite 131-a, Ravenna, OH 44266-3922 | 2007-02-21 |
| 1316093024 | Portage Dental Center | Dentist | 250 S Chestnut St Ste 30, Ravenna, OH 44266-3031 | 2007-01-26 |
| 1053323311 | Robert Daniel Wicks | Dentist | 4352 Lovers Ln, Ravenna, OH 44266-9132 | 2006-08-13 |
| 1063455129 | Craig R Cameron Dds Plc | Dentist | 12374 Stafford Street, Ravenna, MI 49451-0204 | 2006-06-14 |
| 1689018608 | Sandon Scott Wiedemann | Dentist | 250 S Chestnut St Ste 30, Ravenna, OH 44266-3031 | 2013-04-21 |
| 1801058870 | Michael David Adkins | Dentist | 209 Lawrence St, Ravenna, OH 44266-3214 | 2008-06-30 |
| 1275710840 | Naheed Mohamed | Dentist | 250 S Chestnut St, Suite 30, Ravenna, OH 44266-3031 | 2008-01-25 |
| 1538370473 | James Norman Farris | Dentist | 102 W Seneca St, Ravenna, NE 68869-1363 | 2007-05-24 |
| 1609086024 | Richard Corven Miller | Dentist | 309 E Main St, Ravenna, OH 44266-3107 | 2007-05-23 |
| 1396861944 | William R Braden | Dentist | 250 S Chestnut St, Suite #36, Ravenna, OH 44266-3031 | 2007-03-22 |
| Find all providers in RAVENNA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.