BRENDAN J KILBANE (NPI# 1407907058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407907058 |
| Entity Type | Individual |
| Full Name | BRENDAN J KILBANE |
| Credential | MD |
| Practice Address |
11100 Euclid Avenue Cleveland OH 44106 |
| Mailing Address |
3605 Warrensville Center Road Msc 9152 Shaker Hts OH 44122 |
| Practice Telephone | 2168447700 |
| Practice Fax Number | 2162866341 |
| Mailing Telephone | 2162866299 |
| Mailing Fax Number | 2162866341 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2010-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
35-082333 | OH | Allopathic & Osteopathic Physicians |
| N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
35082333 | OH | Allopathic & Osteopathic Physicians |
| N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
036-111185 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1407907058 | 05 | |
| IN | 200873430A | 05 | |
| SC | Q82333 | 05 | |
| PA | 1021128310001 | 05 | |
| OH | 2759395 | 05 |
| Street Address |
11100 EUCLID AVENUE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659009 | Richard Josephson | Internal Medicine | 11100 Euclid Avenue, Cleveland, OH 44106 | 2005-06-20 |
| 1538768270 | Rohit Kesarwani | Neurological Surgery | 11100 Euclid Avenue, University Hospitals Cleveland Medical Center, Departme, Cleveland, OH 44106 | 2020-10-23 |
| 1720609449 | Soheil Hany El-azzouni | Student in an Organized Health Care Education/Training Program | 11100 Euclid Avenue, Cleveland, OH 44106 | 2020-05-05 |
| 1548895204 | Jennifer Gardner | Nurse Practitioner | 11100 Euclid Avenue, Mather Suite 1704, Cleveland, OH 44106 | 2020-03-03 |
| 1811539398 | Erin Collard | Nurse Practitioner | 11100 Euclid Avenue, Seidman Cancer Center 4th Floor, Berger Office, Cleveland, OH 44106 | 2019-10-16 |
| 1245795236 | Olumide Babatope Ogunwumi | Physician Assistant | 11100 Euclid Avenue, Room 3001, Lerner Tower 3, Cleveland, OH 44106 | 2019-02-05 |
| 1992276661 | Catherine Lee | Clinical Neuropsychologist | 11100 Euclid Avenue, Department of Neurology, Cleveland, OH 44106 | 2018-12-06 |
| 1396258273 | Brittany J Smith | Registered Nurse | 11100 Euclid Avenue, Cleveland, OH 44106 | 2017-11-14 |
| 1457887994 | Akisha Glasgow | Student in an Organized Health Care Education/Training Program | 11100 Euclid Avenue, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 | 2017-05-03 |
| 1952835068 | Morgan Brynn Weber | Student in an Organized Health Care Education/Training Program | 11100 Euclid Avenue, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 | 2017-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347706 | Adeeb Oweidat | Anesthesiology | 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 | 2020-08-18 |
| 1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
| 1306466974 | Ho Jun Lee | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 | 2020-04-23 |
| 1528687837 | Shaleeka Cornelius | Student in an Organized Health Care Education/Training Program | 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 | 2020-04-16 |
| 1598393175 | Mikdat Ulas | Student in an Organized Health Care Education/Training Program | 111000 Euclid Avenue, Cleveland, OH 44106 | 2020-03-30 |
| 1790335651 | Michelle Clark | Home Health Aide | 1794 E 87th St, Cleveland, OH 44106 | 2019-09-12 |
| 1881246783 | Oziel Valdez Sanchez | Student in an Organized Health Care Education/Training Program | 11900 Euclid Ave, Cleveland, OH 44106 | 2019-07-10 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1023677259 | Moeen Al Weshah | Student in an Organized Health Care Education/Training Program | 9601 Chester Ave # 239j3, Cleveland, OH 44106 | 2019-06-11 |
| Find all providers in zip 44106 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811044167 | Scott M Bouton | Pediatrics | 11000 Euclid Ave, Cleveland, OH 44106-1714 | 2007-01-05 |
| 1467746297 | David Michael Shafran | Pediatrics | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2011-06-09 |
| 1861526774 | Richard J. Adams | Pediatrics | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2007-03-15 |
| 1386701621 | Kreg Burnette | Pediatrics | 11100 Euclid Avenue, Cleveland, OH 44106 | 2007-01-03 |
| 1114085610 | Patrick T Wilson | Pediatrics | 11100 Euclid Avenue, Cleveland, OH 44106 | 2006-12-05 |
| 1669569661 | Brett A Luxmore | Pediatrics | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-10-10 |
| 1053406678 | Regina M Rosace | Pediatrics | 11100 Euclid Avenue, Cleveland, OH 44106 | 2006-10-03 |
| 1265540033 | Laura D Goldberg | Pediatrics | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-08-29 |
| 1023039559 | Lynne A Eversman | Pediatrics | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-07-21 |
| 1386665818 | Martha S Wright | Pediatrics | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-07-21 |
| Find all providers in CLEVELAND | ||||
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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.