STACEY A. BRILLON


Address: 376 W 10th Ave, Department of Emergency Medicine Room 760 Prior Hall, Columbus, OH 43210-1280
Phone: 6142938305

STACEY A. BRILLON (NPI# 1124408752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124408752
Entity Type Individual
Full Name STACEY A. BRILLON
Credential P.A.-C.
Practice Address 376 W 10th Ave
Department of Emergency Medicine Room 760 Prior Hall
Columbus
OH 43210-1280
Mailing Address 700 Ackerman Rd
Suite 570
Columbus
OH 43202-1559
Practice Telephone 6142938305
Practice Fax Number 6142933124
Mailing Telephone 6142932046
Enumeration Date 2015-06-09
Last Update Date 2016-01-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 50004283 OH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH PENDING 05

Office Location

Street Address 376 W 10TH AVE
DEPARTMENT OF EMERGENCY MEDICINE ROOM 760 PRIOR HALL
City COLUMBUS
State OH
Zip Code 43210-1280

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578783536 Mark P Foran Emergency Medicine 376 W 10th Ave, 760 Prior Hall, Columbus, OH 43210-1280 2007-05-01
1497377550 Langston Hughes Student in an Organized Health Care Education/Training Program 376 W 10th Ave, Columbus, OH 43210-1280 2020-05-12
1922629583 Daniel Wagner Student in an Organized Health Care Education/Training Program 376 W 10th Ave, Columbus, OH 43210-1280 2020-05-05
1841811650 Elise Grzeskiewicz Student in an Organized Health Care Education/Training Program 376 W 10th Ave, Columbus, OH 43210-1280 2020-05-04
1215558044 Christian Curatolo Student in an Organized Health Care Education/Training Program 376 W 10th Ave, Columbus, OH 43210-1280 2020-05-04
1316568215 Hayden Denver Wolford Student in an Organized Health Care Education/Training Program 376 W 10th Ave, Columbus, OH 43210-1280 2020-05-01
1174144158 Andrew James Garrone Student in an Organized Health Care Education/Training Program 376 W 10th Ave, Columbus, OH 43210-1280 2020-05-01
1124649017 Nikolas Sarac Student in an Organized Health Care Education/Training Program 376 W 10th Ave, Columbus, OH 43210-1280 2020-05-01
1225659188 Abshaar Faozan Narvel Student in an Organized Health Care Education/Training Program 376 W 10th Ave, Columbus, OH 43210-1280 2020-05-01
1053940312 Leon Lin Student in an Organized Health Care Education/Training Program 376 W 10th Ave, Columbus, OH 43210-1280 2020-04-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861014672 Nadine El Ayouty Dentist 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 2020-05-14
1982233953 Zacharia A Grami Emergency Medicine 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 2020-04-02
1578191219 Kaitlyn Greiner Student in an Organized Health Care Education/Training Program The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 2020-03-30
1265069280 Meryl P Sudhakar Student in an Organized Health Care Education/Training Program 774 Prior Hall 376 W 10th Ave, Columbus, OH 43210 2020-03-27
1124653514 William A Jansak Nurse Practitioner The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 2020-03-06
1114570058 Suzanne Bartle Haring Marriage & Family Therapist 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 2019-07-19
1487207387 Mehak Kaul Dentist 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 2019-07-19
1043873920 Andrew Kendle Student in an Organized Health Care Education/Training Program 774 Prior Hall, 374 W. 10th Ave, Columbus, OH 43210 2019-04-17
1093277840 Cory Pettit Student in an Organized Health Care Education/Training Program The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 2019-04-02
1447711866 Drew Michael S Donnell Student in an Organized Health Care Education/Training Program Osuwmc Dept of Surgery, 395 W. 12th Avenue, Room 662, Columbus, OH 43210 2019-03-28
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356941603 Ingrid Mompoint-butler Physician Assistant 1911 Oakland Park Ave, Columbus, OH 43224-3630 2020-10-27
1649886557 Justin Knox Physician Assistant 7416 Roslindale Dr, Columbus, OH 43235-8904 2020-09-17
1336766310 Mckenna Marie Wilson Physician Assistant 4752 Bentham Dr, Columbus, OH 43220-3204 2020-06-25
1881226744 Adrian Gorzitze-maxey Physician Assistant 117 W Como Ave, Columbus, OH 43202-1027 2020-02-09
1699316604 James Rodeman Physician Assistant 1351 Wyandotte Rd, Columbus, OH 43212-3248 2019-10-01
1740830017 Rylie Taylor Ingham Physician Assistant 285 E State St Ste 600, Columbus, OH 43215-4329 2019-09-18
1487201976 Columbus Surgical Assist, LLC Physician Assistant 605 N. High Street #234, Columbus, OH 43215-2024 2019-08-20
1699237743 Stefan Khensouri Physician Assistant 3375 Paddington Dr, Columbus, IN 47203-4328 2019-04-05
1932681715 Michael Kenneth Johnson Physician Assistant 5399 Coachman Rd Apt E, Columbus, OH 43220-6270 2018-08-29
1760972426 Simon Nke Acha Physician Assistant 285 E State St Ste 360, Columbus, OH 43215-4357 2018-05-17
Find all providers in COLUMBUS

Competitor

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City COLUMBUS
Zip Code 43210

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Dataset Information

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.

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