JAMES DAVID BROCKETT (NPI# 1154764363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154764363 |
| Entity Type | Individual |
| Full Name | JAMES DAVID BROCKETT |
| Credential | M.D. |
| Practice Address |
1 Akron General Ave Akron OH 44307-2432 |
| Mailing Address |
400 Wabash Ave Akron OH 44307-2433 |
| Practice Telephone | 3303446000 |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2020-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 35.138736 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
1 AKRON GENERAL AVE |
| City | AKRON |
| State | OH |
| Zip Code | 44307-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912336 | Daniel W Satariano | Anesthesiology | 1 Akron General Ave, Akron, OH 44307-2432 | 2005-06-14 |
| 1881201044 | Todd Jay Painter | Nurse Practitioner | 1 Akron General Ave, Akron, OH 44307-2432 | 2020-09-30 |
| 1760099030 | Erin Greenwell | Nurse Anesthetist, Certified Registered | 1 Akron General Ave, Akron, OH 44307-2432 | 2020-09-30 |
| 1952918393 | Lisa Marie Dunnie | Nurse Anesthetist, Certified Registered | 1 Akron General Ave, Akron, OH 44307-2432 | 2020-09-29 |
| 1194332569 | Gabrielle Lynn Cvengros | Physician Assistant | 1 Akron General Ave, Akron, OH 44307-2432 | 2020-09-29 |
| 1578170353 | Anjali Nidhaan | Internal Medicine | 1 Akron General Ave, Akron, OH 44307-2432 | 2020-09-25 |
| 1841806817 | Sean W Holvey | Nurse Anesthetist, Certified Registered | 1 Akron General Ave, Akron, OH 44307-2432 | 2020-09-16 |
| 1063025419 | Palak Rath | Student in an Organized Health Care Education/Training Program | 1 Akron General Ave, Akron, OH 44307-2432 | 2020-08-26 |
| 1902417991 | Olayinka Ibironke Adebolu | Internal Medicine | 1 Akron General Ave, Akron, OH 44307-2432 | 2020-08-12 |
| 1134730435 | Andrei Hastings | Student in an Organized Health Care Education/Training Program | 1 Akron General Ave, Akron, OH 44307-2432 | 2020-08-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588225205 | Tanya Charlene Marshall | Internal Medicine | 1 Akron Avenue, Akron, OH 44307 | 2019-06-24 |
| 1265099220 | Renee M Richardson | Home Health Aide | 817 Easter Ave, Akron, OH 44307 | 2019-05-24 |
| 1619462074 | Lydia Yatras | Nurse Practitioner | Canal Physician Group, 1 Akron General Ave, Akron, OH 44307 | 2018-06-28 |
| 1790293785 | Rachel D Johnson | Home Health Aide | 1068 Nathan St., Akron, OH 44307 | 2018-01-12 |
| 1720495039 | Quashema Anderson | Licensed Practical Nurse | 722 City View Ave, Akron, OH 44307 | 2014-07-18 |
| 1447662085 | Lamona King | Home Health Aide | 507 Warner Court St., Akron, OH 44307 | 2014-06-02 |
| 1255756268 | Carla R Stark | Speech-Language Pathologist | 405 Vernon Odom Blvd, Akron, OH 44307 | 2014-02-27 |
| 1780016493 | Deborah K Calderwood | Physician Assistant | 1 Akron General Ave. Building 301, Floor 2, Akron, OH 44307 | 2013-08-05 |
| 1659650091 | Chukwuma Soyinka Osifeso | Internal Medicine | One Akron General Avenue, Ste 1505, Akron, OH 44307 | 2011-08-16 |
| 1770724239 | Shirley Janette Slay | Nurse's Aide | 1199 Diaganol Rd, Akron, OH 44307 | 2009-03-13 |
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| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801978986 | Kevin Lee Mayor | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 75 Arch St. Suite 407, Akron, OH 44304 | 2006-10-19 |
| 1104222587 | Summa Physicians Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 95 Arch St, Suite 300, Akron, OH 44304-1437 | 2014-11-12 |
| 1871778241 | Partners Physician Group | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 400 Wabash Ave, #3500, Akron, OH 44307-2433 | 2008-01-04 |
| 1205049509 | Cardiothoracic Surgery Specialists | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 75 Arch St, Suite 407, Akron, OH 44304-1429 | 2007-05-07 |
| 1073726394 | Cardiothoracic Consultants LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 75 Arch St, Suite 407, Akron, OH 44304-1429 | 2007-05-07 |
| 1982768008 | Michael L Spector | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1 Perkins Sq, Akron, OH 44308-1063 | 2006-12-21 |
| 1184797292 | Robert Wayne Kamienski | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 224 W Exchange St, #300, Akron, OH 44302-1704 | 2006-11-16 |
| 1750468864 | Partners Physician Group | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 224 W Exchange St, #300, Akron, OH 44302-1704 | 2006-11-01 |
| 1538255807 | Patrick Joseph Stocker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 224 W Exchange St, #300, Akron, OH 44302-1704 | 2006-10-05 |
| 1922105675 | Robert Allen Baranek | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 75 Arch St, Suite 412, Akron, OH 44304-1429 | 2006-09-17 |
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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.