BRIAN SHORT (NPI# 1336116383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336116383 |
| Entity Type | Individual |
| Full Name | BRIAN SHORT |
| Credential | DPM |
| Practice Address |
6200 Pleasant Ave Suite 3 Fairfield OH 45014-4670 |
| Mailing Address |
3000 Hospital Dr Batavia OH 45103-1921 |
| Practice Telephone | 5138299333 |
| Practice Fax Number | 5138587827 |
| Mailing Telephone | 5137358924 |
| Mailing Fax Number | 5137328348 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2019-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 36003369 | OH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2502661 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770648305 | Brian T. Short | Chiropractor | 1444 S Saint Francis Dr, Suite C, Santa Fe, NM 87505-4229 | 2006-12-26 |
| 1073588844 | Brian J Short | Nurse Practitioner | 4620 Middleboro Lane, Richmond, IN 47374 | 2006-02-23 |
| 1134341696 | Brian Christopher Short | Dentist | Ut College of Medicine, 920 Madison Avenue Suite C50, Memphis, TN 38163 | 2007-05-03 |
| Street Address |
6200 PLEASANT AVE SUITE 3 |
| City | FAIRFIELD |
| State | OH |
| Zip Code | 45014-4670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750816005 | Excel Podiatry LLC | Podiatrist | 6200 Pleasant Ave, Ste 3, Fairfield, OH 45014-4670 | 2017-04-25 |
| 1942476361 | Choice Podiatry Associates Inc | Podiatrist | 6200 Pleasant Ave, Ste 3, Fairfield, OH 45014-4670 | 2008-05-06 |
| 1336263490 | Gary L Glynn Dpm Inc. | Podiatrist | 6200 Pleasant Ave, Suite 3, Fairfield, OH 45014-4670 | 2007-03-16 |
| 1568413193 | Tiffany Orlando-weber | Podiatrist | 6200 Pleasant Ave, Suite 3, Fairfield, OH 45014-4670 | 2006-05-16 |
| 1508829359 | Barbara Lynn Petkovic | Podiatrist | 6200 Pleasant Ave, Ste 3, Fairfield, OH 45014-4670 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1831695642 | James Grant Walther | Contractor | 16408 Jeanie Drive, Aurora, IN 45014 | 2018-04-02 |
| 1104339837 | Tamara Rochester | Registered Nurse | 5474 Yellowstone Dr, Fairfield, OH 45014 | 2017-11-16 |
| 1104335892 | Barbara Johnson | Registered Nurse | 2853 Saturn Drive, Fairfield, OH 45014 | 2017-09-25 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1669916789 | Lacretia Ancona | In Home Supportive Care | 700 Wessel Dr #181505, Fairfield, OH 45014 | 2016-12-08 |
| 1134676299 | Lynne Mutuku | Licensed Practical Nurse | 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 | 2016-09-07 |
| 1104291020 | Mimi Supportive Hands .llc | Home Health | 6 Ridge Dr Apt 203, Cincinnati, OH 45014 | 2015-12-03 |
| 1215319181 | Brittany Beck | Social Worker | 3050 Mack Rd Ste 205, Fairfield, OH 45014 | 2015-06-26 |
| 1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
| Find all providers in zip 45014 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689145898 | S Thomas Sehy D P M L L C | Podiatrist | 213 Nw 10th St Ste B, Fairfield, IL 62837-1219 | 2018-12-16 |
| 1386984300 | Jr Podiatry LLC | Podiatrist | 10 Belair Dr, Fairfield, NJ 07004-1704 | 2013-02-28 |
| 1295031748 | Family Foot & Ankle Center Inc Pa | Podiatrist | 5400 Dixie Hwy, Suite G, Fairfield, OH 45014-7488 | 2011-02-01 |
| 1407089261 | Sean Michael Dougherty | Podiatrist | 1620 Pennsylvania Ave Ste A, Fairfield, CA 94533-3509 | 2009-08-27 |
| 1407047954 | Fairfield Podiatry Associates LLC | Podiatrist | 2321 Black Rock Turnpike, Fairfield, CT 06825-3220 | 2007-08-08 |
| 1053422634 | Stephen C. Burrows | Podiatrist | 2321 Black Rock Tpke, Fairfield, CT 06825-3220 | 2006-08-31 |
| 1447360557 | Eugene Frank Sherwood | Podiatrist | 1260 Nilles Rd, Bldg A-1, Fairfield, OH 45014-2912 | 2006-08-30 |
| 1902827496 | Deborah Ann Derose | Podiatrist | 880 Old Post Rd, Fairfield, CT 06824-8403 | 2006-07-21 |
| 1063494847 | Richard Herbert Aronoff | Podiatrist | 227 Bailey Rd, Fairfield, CT 06825-2607 | 2005-11-16 |
| 1790775922 | Richard Anthony Rose | Podiatrist | 202 E Briggs Ave, Fairfield, IA 52556-2925 | 2005-10-27 |
| Find all providers in FAIRFIELD | ||||
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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.