GRETCHEN BRECKNER (NPI# 1578982351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578982351 |
| Entity Type | Individual |
| Full Name | GRETCHEN BRECKNER |
| Practice Address |
28800 Ryan Rd Ste 310 Warren MI 48092 |
| Mailing Address |
28800 Ryan Rd Ste 310 Warren MI 48092-4273 |
| Practice Telephone | 5865582871 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2018-06-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 5101020973 | MI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
28800 RYAN RD STE 310 |
| City | WARREN |
| State | MI |
| Zip Code | 48092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163186 | Katherine Byrd | Behavior Technician | 3691 East 11 Mile Rd., Warren, MI 48092 | 2018-11-15 |
| 1861980302 | Mark Paul Azzo | Home Health Aide | 27605 Walker Ave, Warren, MI 48092 | 2018-04-30 |
| 1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
| 1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
| 1174911713 | Kimberly A Ott | Nurse Practitioner | 28800 Ryan Rd Suite 320, Warren, MI 48092 | 2015-01-06 |
| 1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
| 1962827311 | Mouradian Dental Center, D.d.s., P.C. | Dentist | 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 | 2014-02-21 |
| 1639495930 | Debra Kay Wenneman | Physical Therapist | 28776 Ryan Rd, Warren, MI 48092 | 2010-04-12 |
| 1922332923 | Sonia Amirali Pethani | Physical Therapist | 2117 E. Eleven Mile Rd., Warren, MI 48092 | 2009-09-23 |
| 1275768392 | Meghan Alice Haley | Physician Assistant | 3990 E. 12 Mile Rd., Warren, MI 48092 | 2009-05-19 |
| Find all providers in zip 48092 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275853897 | Mae Faye De La Calzada-jeanlouie | Emergency Medicine | 16 Foxglove Dr, Warren, NJ 07059-5000 | 2010-06-05 |
| 1528074416 | Bradley Frank Gutierrez | Emergency Medicine | 11800 E 12 Mile Road, St John Macomb Hospital Dept of Emergency Medicine, Warren, MI 48093 | 2006-07-31 |
| 1437103371 | Markham Emergency Physicians LLC | Emergency Medicine | 404 S Bradley St, Warren, AR 71671-3459 | 2006-05-22 |
| 1659358588 | Pedro A Ballester | Emergency Medicine | 1405 E Market St, Warren, OH 44483-6609 | 2005-12-30 |
| 1285619239 | Zachary F Veres | Emergency Medicine | 4681 Mahoning Ave Nw, Warren, OH 44483-1418 | 2005-12-13 |
| 1366427312 | Melissa S Knarr | Emergency Medicine | 667 Eastland Avenue Se, Warren, OH 44484 | 2005-12-13 |
| 1508850611 | Ernest Depasquale | Emergency Medicine | 1350 E Market St, Warren, OH 44483-6608 | 2005-09-02 |
| 1124501861 | Steward Emergency Physicians Ohio Inc | Emergency Medicine | 1350 E Market St, Warren, OH 44483-6608 | 2018-09-10 |
| 1992223762 | Jessica Katherine Hall | Emergency Medicine | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2017-08-31 |
| 1689102535 | Gurtejbir Singh Bilkhu | Emergency Medicine | 12000 E 12 Mile Rd, Warren, MI 48093-3570 | 2017-05-23 |
| Find all providers in WARREN | ||||
Please comment or provide details below to improve the information on GRETCHEN BRECKNER.
| 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.