BRIAN POWELL (NPI# 1225422330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225422330 |
| Entity Type | Individual |
| Full Name | BRIAN POWELL |
| Practice Address |
2160 S 1st Ave Maywood IL 60153-3328 |
| Practice Telephone | 7083273436 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2019-05-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 036146884 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316580152 | Brian Powell | Specialist/Technologist | 281 Simpson Rd, Marlborough, MA 01752-6507 | 2019-10-24 |
| 1437371663 | Brian Matthew Powell | Physician Assistant | 740 S Amy Ln, Ste 101, Harker Heights, TX 76548-1343 | 2007-05-03 |
| 1245274620 | Brian Powell | Optometrist | 969 Main St Ste H, Fishkill, NY 12524-1791 | 2006-06-15 |
| 1306810601 | Brian M Powell | Physical Therapist | 8757 Mylander Ln, Towson, MD 21286-2102 | 2006-02-14 |
| 1316454861 | Brian Powell | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2018-01-05 |
| 1790234250 | Brian James Powell | Nurse Anesthetist, Certified Registered | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2016-09-26 |
| 1518239474 | Brian S. Powell | Physician Assistant | 1932 Alcoa Hwy Ste 360, Knoxville, TN 37920-1509 | 2012-02-07 |
| 1194011130 | Brian D Powell | Orthopaedic Surgery | 4700 Harrison Blvd, Ogden, UT 84403-4303 | 2011-06-28 |
| 1144432402 | Brian Keith Powell | Family Medicine | 12420 130th Ave, Largo, FL 33774-1919 | 2007-05-07 |
| 1952375909 | Brian Powell | Internal Medicine | 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 28203-5866 | 2006-02-15 |
| Street Address |
2160 S 1ST AVE |
| City | MAYWOOD |
| State | IL |
| Zip Code | 60153-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174525489 | Michael Jm Raffin | Audiologist | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2005-06-01 |
| 1366049900 | Kenneth Bernard Jordan | Psychiatry & Neurology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-10-06 |
| 1124634712 | Abhilasha Nitin Borkar | Pathology | 2160 S 1st Ave, Maywood, IL 60153 | 2020-09-18 |
| 1306450325 | Linda Ippolito | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-09-08 |
| 1194339135 | Meghan Henry | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-09-08 |
| 1194339911 | Victoria Leah Drozd | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-31 |
| 1396357588 | Madison Schaefer | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-19 |
| 1134731375 | Otanthia S Williams-brady | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-19 |
| 1205454287 | Janet Nickels | Audiologist | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-07-07 |
| 1417574054 | Kathryn Clemans | Nurse Anesthetist, Certified Registered | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933077 | Judie Noemie Hoilat | Internal Medicine | 2160 S 1st Avenue, Maywood, IL 60153 | 2020-05-13 |
| 1457972457 | Yuchen Zheng | Student in an Organized Health Care Education/Training Program | Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 | 2020-04-30 |
| 1437779519 | Amna Amad Siddiqui | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2020-04-20 |
| 1982232211 | Brian Kurtz | Student in an Organized Health Care Education/Training Program | 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 | 2020-03-31 |
| 1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
| 1558919472 | Linda Sue Moton | Technician | 10 South 15 Apt. 1, Maywood, IL 60153 | 2019-09-04 |
| 1760047518 | Braden Robert Dasovic | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 | 2019-05-07 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| 1053871681 | Michael V Padua | Psychiatry & Neurology | 2160 S 1st Ave Bldg, Maywood, IL 60153 | 2019-03-20 |
| Find all providers in zip 60153 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992929335 | Heidi Tawadros | General Practice | 5920 Atlantic Blvd, Maywood, CA 90270-3101 | 2007-04-13 |
| 1104910629 | Ruben Sangalang Casabar | General Practice | 6017 Atlantic Blvd, Maywood, CA 90270-3118 | 2006-10-02 |
| 1679587091 | Dean Ferdows | General Practice | 4316 Slauson Ave, Maywood, CA 90270-2838 | 2006-07-28 |
| 1215985536 | Jesus C Aseniero | General Practice | 5953 Atlantic Blvd, Maywood, CA 90270-3133 | 2006-05-05 |
| 1649425026 | Ruben S. Casabar, M.d, Inc. | General Practice | 6017 Atlantic Blvd, Maywood, CA 90270-3118 | 2008-11-26 |
| 1720239858 | Jose Clemente Navarrete M D Inc | General Practice | 6043 Atlantic Blvd, Maywood, CA 90270-3118 | 2008-10-07 |
| 1275704579 | Dean Ferdows Md Inc | General Practice | 4316 Slauson Ave, Maywood, CA 90270-2838 | 2008-03-14 |
| 1225232325 | Ricardo E Chambi Md | General Practice | 4347 Slauson Ave, Maywood, CA 90270-2837 | 2007-06-13 |
| 1447326855 | Jose Clemente Navarrete | General Practice | 6043 Atlantic Blvd, Maywood, CA 90270-3118 | 2006-11-28 |
| 1336159961 | Loyola University Medical Center | General Practice | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2006-08-08 |
| Find all providers in MAYWOOD | ||||
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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.