DR. MICHAEL BRONIATOWSKI (NPI# 1003994062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003994062 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL BRONIATOWSKI |
| Credential | MD |
| Practice Address |
2322 East 22nd Street Suite 200 Cleveland OH 44115 |
| Mailing Address |
4758 Ridge Rd 161 Cleveland OH 44144 |
| Practice Telephone | 2163632556 |
| Practice Fax Number | 2163632768 |
| Mailing Telephone | 4402368484 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
35043656 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0631516 | 05 |
| Street Address |
2322 EAST 22ND STREET SUITE 200 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1881231850 | Steven Kelly | Case Management | 3500 Carnegie Ave., Cleveland, OH 44115 | 2019-12-09 |
| 1649821422 | Larry Hollimon | Technician | 2320 East 30th Street, Apt #1304, Cleveland, OH 44115 | 2019-09-24 |
| 1306332408 | Tyler Milam | Counselor | 2334 Prospect Ave., 400, Cleveland, OH 44115 | 2018-07-02 |
| 1780108019 | Victoria Charles | Registered Nurse | 2500 E. 22nd St, Cleveland, OH 44115 | 2017-07-28 |
| 1528580511 | Randol Jamel Kennedy | Internal Medicine | 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 | 2017-07-11 |
| 1508393422 | Gang Anthony Lu | Dentist | 1110 Euclid Ave Ste 202, Cleveland, OH 44115 | 2017-05-23 |
| 1093116501 | Megan Shiles | Psychologist | 2675 East 30th St., Cleveland, OH 44115 | 2014-09-16 |
| 1003224577 | Efewongbe Benedicta Oleghe | Internal Medicine | 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 | 2014-07-29 |
| 1982032074 | Andrew Winchester | Social Worker | 2500 Carnegie Ave, Cleveland, OH 44115 | 2013-10-29 |
| Find all providers in zip 44115 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609392232 | Michael Roskies | Otolaryngology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2017-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942527551 | David G. Reed, Md, Inc. | Otolaryngology | 7087 West Boulevard, Youngstown, OH 44512 | 2010-04-23 |
| 1952454753 | Mark Mandell-brown Md, Inc | Otolaryngology | 10735 Montgomery Rd, Cincinnati, OH 45242-3215 | 2007-01-18 |
| 1336297365 | Reza Bolourian | Otolaryngology | 10260 Sawmill Pkwy, Powell, OH 43065-9189 | 2007-01-08 |
| 1033204193 | Central Ohio Ear Nose and Throat Inc. | Otolaryngology | 41 Commerce Park Dr., Westerville, OH 43082 | 2006-10-04 |
| 1922030592 | Thomas M Shirck | Otolaryngology | 4925 Bradenton Ave, Suite C, Dublin, OH 43017-7532 | 2006-07-06 |
| 1366471989 | Eugene David Herrmann | Otolaryngology | 1055 Summitt Sq, Middletown, OH 45042-3464 | 2006-07-03 |
| 1205896131 | George F White | Otolaryngology | 3606 Sheridan Rd, Portsmouth, OH 45662-2357 | 2006-03-24 |
| 1386620540 | David George Reed | Otolaryngology | 7087 West Blvd, Youngstown, OH 44512-7333 | 2005-12-20 |
| 1780689117 | James W Bean | Otolaryngology | 6720 Loop Rd, Centerville, OH 45459-2161 | 2005-06-14 |
| 1629620323 | Bapna Facial Plastics LLC | Otolaryngology | 5378 Avery Rd, Dublin, OH 43016-6933 | 2019-07-12 |
| Find all providers with the same taxonomy | ||||
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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.