MR. ROBERT BRANNICK (NPI# 1144791807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144791807 |
| Entity Type | Individual |
| Full Name | MR. ROBERT BRANNICK |
| Credential | PA-C |
| Practice Address |
355 Ridge Ave Evanston IL 60202-3328 |
| Mailing Address |
Po Box 644 Minooka IL 60447-0644 |
| Practice Telephone | 8473163904 |
| Mailing Telephone | 8152637779 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085-006859 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
355 RIDGE AVE |
| City | EVANSTON |
| State | IL |
| Zip Code | 60202-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750380820 | James Douglas Glass | Anesthesiology | 355 Ridge Ave, Evanston, IL 60202-3328 | 2005-07-20 |
| 1710588496 | Paritosh Prasai | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-11-08 |
| 1750989653 | Emre Can Ozcekirdek | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-10-13 |
| 1689288664 | Bidhya Poudel | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-09-07 |
| 1578177614 | Pankaj Luitel | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3399 | 2020-09-05 |
| 1184238289 | Qishuo Zhang | Internal Medicine | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-09-04 |
| 1184238297 | Kritika Yadav | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-09-04 |
| 1205440427 | Bimatshu Pyakuryal | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3399 | 2020-09-04 |
| 1689288904 | Arjab Adhikari | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-09-03 |
| 1205449014 | Rameej Revanta Thapa | Student in an Organized Health Care Education/Training Program | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548889496 | Ktsmiles, Inc | Clinic/Center | 2408 Main Street, Evanston, IL 60202 | 2020-04-10 |
| 1831751163 | Dorcas Matowe | Marriage & Family Therapist | The Family Institute, 618 Library Place, Evanston, IL 60202 | 2019-07-08 |
| 1457847170 | Lilah Handler | Social Worker | 905 Forest Ave, Apt 1, Evanston, IL 60202 | 2018-07-05 |
| 1528574472 | Jessica Kubacki | Developmental Therapist | 535 Hinman Ave Apt F3, Evanston, IL 60202 | 2017-12-14 |
| 1376075853 | Lisa Meyerson Acupuncture | Acupuncturist | 1234 Sherman Avenue, Lighthouse Yoga and Acupuncture, Evanston, IL 60202 | 2017-04-03 |
| 1427597368 | Lillian Obucina Dds PC | Dentist | 111 North Wabash, Suite 1522, Chicago, IL 60202 | 2017-02-13 |
| 1184176893 | Amelia Willcox | Speech-Language Pathologist | 620 Sheridan Square, Apartment 1, Evanston, IL 60202 | 2016-10-28 |
| 1831547785 | Thomas Hagerty Jr. | Pharmacist | 2491 W Howard St, Evanston, IL 60202 | 2016-06-01 |
| 1013361948 | Autism Hope Support | In Home Supportive Care | 815 Seward Apt. 1s, Evanston, IL 60202 | 2016-04-18 |
| 1215302625 | Preferred Dentistry Associates, LLC | Dentist | 1029 Howard Street, Evanston, IL 60202 | 2015-12-10 |
| Find all providers in zip 60202 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523988 | Audrey Callahan | Physician Assistant | 2650 Ridge Ave Rm G9036, Evanston, IL 60201-1700 | 2020-03-20 |
| 1457986366 | Sabrina Santana | Physician Assistant | 2533 Jackson Ave Apt 2e, Evanston, IL 60201-2356 | 2020-03-11 |
| 1467950154 | Kaylun Grandy | Physician Assistant | 1952 Harrison Drive, Evanston, WY 82930-3241 | 2018-01-27 |
| 1679769913 | Derek G Hoopes | Physician Assistant | 170 Arrowhead Dr Ste 3, Evanston, WY 82930-9307 | 2007-09-20 |
| 1083656979 | Jennifer E Miller | Physician Assistant | 1704 Maple Ave Ste 100, Evanston, IL 60201-3134 | 2006-06-12 |
| 1790307387 | Brett Dixon | Physician Assistant | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-05-18 |
| 1942838586 | Denisa Yzeiraj | Physician Assistant | 355 Ridge Ave, Evanston, IL 60202-3328 | 2020-03-30 |
| 1427684281 | Christopher Smreczak | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2020-03-12 |
| 1215586821 | Ashley Tucker | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2019-09-06 |
| 1013565423 | Alexis Carroll | Physician Assistant | 2650 Ridge Ave, Evanston, IL 60201-1700 | 2019-08-28 |
| Find all providers in EVANSTON | ||||
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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.