BRIAN FALLON (NPI# 1528220068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528220068 |
| Entity Type | Individual |
| Full Name | BRIAN FALLON |
| Credential | MD |
| Practice Address |
301 E Main St Bay Shore NY 11706-8408 |
| Mailing Address |
972 Brush Hollow Rd Westbury NY 11590-1740 |
| Practice Telephone | 6319683844 |
| Mailing Telephone | 5168765555 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 242652 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407826845 | Brian Andrew Fallon | Podiatrist | 803 E. 68th Street, Savannah, GA 31405-4709 | 2006-01-26 |
| 1134739667 | Brian Fallon | Physical Therapist | 892 Plain St, Marshfield, MA 02050-2191 | 2020-08-10 |
| 1255781985 | Brian Patrick Fallon | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, 2110 Taubman Center, Ann Arbor, MI 48109-5346 | 2016-06-14 |
| 1427173103 | Brian Fallon | Psychiatry & Neurology | 622 W 168th St, New York, NY 10032-3720 | 2007-03-20 |
| 1073695581 | Brian Fallon | Physical Therapist | 62 Washington Ave, Westwood, NJ 07675-2000 | 2006-10-20 |
| Street Address |
301 E MAIN ST |
| City | BAY SHORE |
| State | NY |
| Zip Code | 11706-8408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053959 | Ebne Rafi | Pharmacist | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-11-03 |
| 1154928711 | Brittany Lee Mulligan | Anesthesiology | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-10-07 |
| 1093322786 | Aliesha Wahab | Pharmacist | 301 E Main St, Bay Shore, NY 11706-8458 | 2020-09-26 |
| 1316553795 | Erica Anne Schott | Pharmacist | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-09-21 |
| 1780296913 | Chelsea Jensen | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-08-19 |
| 1669081865 | John William Mcdonnell Jr. | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-07-24 |
| 1205445566 | Michele Lisa Guelfi | Local Education Agency (LEA) | 301 E Main St, Bay Shore, NY 11706-8458 | 2020-07-23 |
| 1740899921 | Colleen Stubbs | Nurse Practitioner | 301 E Main St, Bay Shore, NY 11706-8458 | 2020-07-23 |
| 1063030757 | Rigoberto Ventura | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-07-08 |
| 1780200709 | Valerie Brooke Matedero | Physician Assistant | 301 E Main St, Bay Shore, NY 11706-8408 | 2020-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394173 | Erin Marie Barlow | Student in an Organized Health Care Education/Training Program | Southside Emergency Department 301 East Main Street, Bay Shore, NY 11706 | 2020-04-06 |
| 1003460890 | Bay Shore Brightwaters Rescue Ambulance Inc. | Ambulance | 911 Aletta Place, Bay Shore, NY 11706 | 2019-07-30 |
| 1861980872 | Raffy Gutman | Student in an Organized Health Care Education/Training Program | Southside Hospital Family Medicine, 301 E Main St, Bay Shore, NY 11706 | 2018-04-25 |
| 1609371004 | Sengal Kelit Alazar | Student in an Organized Health Care Education/Training Program | South Side Hospital Emergency Department - Northwell, 301 East Main Street, Bay Shore, NY 11706 | 2018-03-27 |
| 1780198671 | Stefany Gabriela Armijos | Social Worker | 144 Fifth Ave, Bay Shore, NY 11706 | 2017-11-30 |
| 1417476771 | Jazmin Unda Jimenez | Licensed Practical Nurse | 236 Adams Ave, Bay Shore, NY 11706 | 2017-09-18 |
| 1013436989 | People Pushers LLC | Non-emergency Medical Transport (VAN) | 50 Corbin Ave, Suite D, Bay Shore, NY 11706 | 2017-09-12 |
| 1871011585 | Life Acupuncture & Massage Therapy P.C. | Acupuncturist | 387 East Main Street Suite 104, Bayshore, NY 11706 | 2017-09-01 |
| 1558881458 | Wilda Novembre | Licensed Practical Nurse | 1742 North Thompson Drive, Bayshore, NY 11706 | 2017-06-21 |
| 1194184085 | Georgette Prawl | Nurse's Aide | 54 1st Avenue, Bayshore, NY 11706 | 2016-02-19 |
| Find all providers in zip 11706 | ||||
| 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 |
|---|---|---|---|---|
| 1134158793 | Terry Palatt | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 15 Park Ave, Bay Shore, NY 11706-7381 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986925 | Arthur Robert Dresdale | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 450 E 83rd St Apt 10b, New York, NY 10028-6265 | 2020-09-13 |
| 1366078677 | Philippe H Lemaitre | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 161 Fort Washington Ave Ste 336, New York, NY 10032-3729 | 2020-03-18 |
| 1932734324 | Ismail El-hamamsy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Mount Sinai Hospital (cardiovascular Surgery), 1190 5th Avenue, Gp 2w, New York, NY 10029 | 2020-03-06 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1386162287 | Chest Thoracic Surgery of Ny | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 326 Trumbull Rd, Manhasset, NY 11030-2117 | 2017-08-31 |
| 1598281131 | Suguru Ohira | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Woods Rd # Macy114w, Valhalla, NY 10595-1530 | 2017-08-15 |
| 1215303441 | Suffolk Thoracic Surgery Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 23 Pheasant Ln, East Setauket, NY 11733-2634 | 2015-08-11 |
| 1962895680 | Usa Professional Medical Services of New York LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5920 Myrtle Ave, Ridgewood, NY 11385-5658 | 2015-03-05 |
| 1902297468 | Suffolk Thoracic Surgery PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 21 Vantage Ct, Port Jefferson, NY 11777-2242 | 2015-02-05 |
| 1720410756 | Luis E Cortes | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 515 E 84th St, New York, NY 10028-7301 | 2013-08-01 |
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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.