TY BROWN (NPI# 1205037470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205037470 |
Entity Type | Individual |
Full Name | TY BROWN |
Credential | MD |
Practice Address |
2670 Chancellor Drive Crestview Hills KY 41017-5466 |
Mailing Address |
Po Box 635283 Cincinnati OH 45263-5283 |
Practice Telephone | 8599570052 |
Practice Fax Number | 8599570054 |
Mailing Telephone | 8599570052 |
Mailing Fax Number | 8599570054 |
Enumeration Date | 2007-05-29 |
Last Update Date | 2018-09-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
41471 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 7100039290 | 05 | |
KY | RAILROAD MEDICARE | P00935634 | 01 |
IN | 201206690 | 05 |
Street Address |
2670 CHANCELLOR DRIVE |
City | CRESTVIEW HILLS |
State | KY |
Zip Code | 41017-5466 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649733510 | Jamie E. C. Krusling | Nurse Practitioner | 2670 Chancellor Drive, Crestview Hills, KY 41017-5466 | 2019-04-09 |
1578912572 | Ahmed Eid Sobhy Abdelkader | Psychiatry & Neurology | 2670 Chancellor Drive, Crestview Hills, KY 41017-5466 | 2016-06-09 |
1043579766 | Stephanie Dalton | Psychiatry & Neurology | 2670 Chancellor Drive, Crestview Hills, KY 41017 | 2012-05-15 |
1174818009 | Lindsay Rebekah Pattison | Psychiatry & Neurology | 2670 Chancellor Drive, Crestview Hills, KY 41017-5466 | 2011-06-20 |
1518156967 | Vinod M. Krishnan | Psychiatry & Neurology | 2670 Chancellor Drive, Crestview Hills, KY 41017 | 2007-10-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
Find all providers in zip 41017 |
Taxonomy Code | 2084N0600X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Clinical Neurophysiology |
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902853617 | Warren F. Chumley | Psychiatry & Neurology | 1021 Majestic Drive, Suite 200, Lexington, KY 40513 | 2006-05-28 |
1467450601 | Vasudeva G. Iyer | Psychiatry & Neurology | 2505 Bush Ridge Dr, Suite A, Louisville, KY 40245-5885 | 2005-07-12 |
1891037230 | Ima Mbodie Ebong | Psychiatry & Neurology | 740 S Limestone Ky Clinic J401, Lexington, KY 40536 | 2013-03-24 |
1366671265 | Disha Shah | Psychiatry & Neurology | 6400 Dutchmans Pkwy, Suite 175, Louisville, KY 40205-3340 | 2009-07-13 |
1144456757 | Iyer Neurology Pllc | Psychiatry & Neurology | 2505 Bush Ridge Dr, Suite A, Louisville, KY 40245-5885 | 2009-06-09 |
1154368801 | Greg L. Anderson | Psychiatry & Neurology | 1021 Majestic Drive, Suite 200, Lexington, KY 40513 | 2006-06-01 |
City | CRESTVIEW HILLS |
Zip Code | 41017 |
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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.