KEITH W BRANTLEY (NPI# 1609852672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609852672 |
| Entity Type | Individual |
| Full Name | KEITH W BRANTLEY |
| Credential | MD |
| Practice Address |
751 Forest Ave Ste 301 Zanesville OH 43701-2868 |
| Mailing Address |
751 Forest Ave Ste 300 Zanesville OH 43701-2868 |
| Practice Telephone | 7404540804 |
| Practice Fax Number | 7404503447 |
| Mailing Telephone | 7404540804 |
| Mailing Fax Number | 7404503447 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2010-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35063514B | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0883101 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356670129 | Keith Brantley | Physical Therapist | 4635 Union Rd, Cheektowaga, NY 14225-1851 | 2009-12-08 |
| Street Address |
751 FOREST AVE STE 301 |
| City | ZANESVILLE |
| State | OH |
| Zip Code | 43701-2868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700886959 | Chester Osborn | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 751 Forest Ave, Zanesville, OH 43701-2875 | 2005-07-29 |
| 1023631363 | Jocelyn Connell | Pharmacist | 751 Forest Ave, Zanesville, OH 43701-2868 | 2020-05-21 |
| 1821470089 | Kylie B Wells | Registered Nurse | 751 Forest Ave, Suite 300, Zanesville, OH 43701-2868 | 2015-06-24 |
| 1326433558 | Matthew Martin | Nurse Practitioner | 751 Forest Ave, Suite 402, Zanesville, OH 43701-2868 | 2015-04-03 |
| 1194138370 | Tisha Nikole Wardrip | Nurse Practitioner | 751 Forest Ave, Suite 202, Zanesville, OH 43701-2868 | 2014-06-05 |
| 1790105914 | Michael James Butler | Registered Nurse | 751 Forest Ave, Suite 200, Zanesville, OH 43701-2868 | 2014-04-27 |
| 1780931477 | Julie A Renner | Nurse Practitioner | 751 Forest Ave, Suite 202, Zanesville, OH 43701-2868 | 2012-08-13 |
| 1972879070 | Matthew P Schmieder | Pediatrics | 751 Forest Ave, Suite 401, Zanesville, OH 43701-2868 | 2012-03-22 |
| 1063721389 | Susan E Piecynski | Registered Nurse | 751 Forest Ave, Suite 200, Zanesville, OH 43701-2868 | 2010-10-04 |
| 1801104773 | Dianne C Johnson | Nurse Practitioner | 751 Forest Ave, Suite 202, Zanesville, OH 43701-2868 | 2010-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932694791 | Robert Edward Russell II | Counselor | 1590 Coal Run Rd., Zanesville, OH 43701 | 2018-06-25 |
| 1871010975 | Amy Caroline Blackford | Occupational Therapist | 4039 Old Wheeling Road, Zanesville, OH 43701 | 2017-08-29 |
| 1598286825 | Michele Ann Ehrnfield | Counselor | 930 Bethesda Drive, Zanesville, OH 43701 | 2017-06-27 |
| 1306382163 | Nadine Curry | Counselor | 4509 Pinkerton Rd, Foxfire Schools, Zanesville, OH 43701 | 2017-01-17 |
| 1669916219 | Kathleen Caughell | Counselor | 1590 Coal Run Rd, Zanesville, OH 43701 | 2016-12-15 |
| 1154877728 | Katherine Williams | Registered Nurse | 1125 Ellis Dam Rd, Zanesville, OH 43701 | 2016-09-01 |
| 1801342415 | Foxfire Intermediate School | Local Education Agency (LEA) | 2805 Pinkerton Road, Zanesville, OH 43701 | 2016-09-01 |
| 1770936353 | Tiffany Branson | Nurse Practitioner | 955 Bethesda Drive, 1st Floor, Zanesville, OH 43701 | 2016-07-19 |
| 1194175497 | Life Support Therapy Services LLC | Counselor | 941 Blue Ave, Zanesville, OH 43701 | 2016-06-16 |
| 1669876546 | Tami Sue Wofter | Licensed Practical Nurse | 21 Butler Drive, Zanesville, OH 43701 | 2014-10-21 |
| Find all providers in zip 43701 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184771701 | Grant V Chow | Internal Medicine | 955 Bethesda Dr Fl 1, Zanesville, OH 43701-1873 | 2007-01-04 |
| 1871579854 | John E Vangilder | Internal Medicine | 955 Bethesda Dr, 1st Floor, Zanesville, OH 43701-1873 | 2005-12-21 |
| 1265418255 | John D Caffaratti | Internal Medicine | 1246 Ashland Ave, Ste 107, Zanesville, OH 43701 | 2005-12-21 |
| 1073599031 | Duane P Pool | Internal Medicine | 751 Forest Ave, Ste 301, Zanesville, OH 43701-2868 | 2005-12-21 |
| 1174509160 | Abdulhay Albirini | Internal Medicine | 751 Forest Ave, Ste 300, Zanesville, OH 43701-2868 | 2005-12-21 |
| 1144206103 | Samar Khoury | Internal Medicine | 751 Forest Ave, Ste 300, Zanesville, OH 43701-2868 | 2005-12-21 |
| 1588640569 | Jerry W Moore | Internal Medicine | 1246 Ashland Ave, Ste 107, Zanesville, OH 43701 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912569781 | United Diagnostic Services LLC | Internal Medicine | 895 Parsons Ave Ste 1b, Columbus, OH 43206-2398 | 2019-07-02 |
| 1093377764 | Tom Kai Ming Wang | Internal Medicine | Cleveland Clinic 9500 Euclid Avenue Na23, Cleveland, OH 44195-0001 | 2019-07-02 |
| 1316504723 | Olivia Kay Preston | Internal Medicine | 543 Taylor Ave Ste 3002, Columbus, OH 43203-1278 | 2019-05-21 |
| 1932669181 | United Diagnostic Services LLC | Internal Medicine | 895 Parsons Ave Unit B Ste 1, Columbus, OH 43206-2398 | 2019-03-23 |
| 1982168100 | Optimum Cardiology Inc | Internal Medicine | 4825 Higbee Ave Nw Ste 102, Canton, OH 44718-2567 | 2019-01-23 |
| 1053859124 | Andrew Michael Dominic Crean | Internal Medicine | Division of Cardiovascular Health And, 231 Albert Sabin Way, Cincinnati, OH 45267-0001 | 2017-02-08 |
| 1306393541 | Lima Memorial Professional Corporation | Internal Medicine | 140 Fox Rd Ste 103 1/2, Van Wert, OH 45891-3400 | 2016-09-06 |
| 1699221234 | Hatem Mowafy I | Internal Medicine | 12 Avenue Street Ross Hear Hospital, Columbus, OH 43202 | 2016-09-01 |
| 1720432693 | Radoslav Zinoviev | Internal Medicine | 9500 Euclid Ave Rm J3-6, Cleveland, OH 44195-3220 | 2016-04-18 |
| 1053773838 | Dayton Springfield Heart and Vascular Medicine, LLC | Internal Medicine | 7111 N. Main St., Suite 50, Dayton, OH 45415-2558 | 2016-03-22 |
| Find all providers with the same taxonomy | ||||
| City | ZANESVILLE |
| Zip Code | 43701 |
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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.