BREANNE M JAQUA (NPI# 1821520313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821520313 |
| Entity Type | Individual |
| Full Name | BREANNE M JAQUA |
| Other Name | BREANNE M HIRSHMAN |
| Credential | D.O. |
| Practice Address |
2213 Cherry St Fl 1 Emergency Medicine Residency - St. Vincent Medical Cent Toledo OH 43608-2603 |
| Practice Telephone | 4192514724 |
| Mailing Telephone | 4192514724 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2019-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 34.013802 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2213 Cherry Street, Acc Trauma Clinic, Toledo, OH 43608 | 4192514283 | 4192510814 |
| Street Address |
2213 CHERRY ST FL 1 EMERGENCY MEDICINE RESIDENCY - ST. VINCENT MEDICAL CENT |
| City | TOLEDO |
| State | OH |
| Zip Code | 43608-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126167 | Gunbir Singh | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St., Toledo, OH 43608 | 2020-05-21 |
| 1285257600 | Srikanth Popuri | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Acc Building 1st Floor, Mercy St Vincent Medical Center, Toledo, OH 43608 | 2020-05-20 |
| 1003438961 | Krishna Chaudhary | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St. Vincent Medical Center, Toledo, OH 43608 | 2020-05-14 |
| 1538780440 | Abdul Baqi | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent's Medical Center, 2213 Cherry Street, Toledo, OH 43608 | 2020-05-01 |
| 1538780556 | Abid Nawaz Khan Adil | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street 1st Floor Acc, Mercy Health St Vincent Medical Center, Toledo, OH 43608 | 2020-04-30 |
| 1578184750 | E Chin Mak | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, 1st Floor, Mercy St Vincent Medical Center, Ambulatory Care Center, Toledo, OH 43608 | 2020-04-29 |
| 1184244618 | Ghulam Mujtaba Ghumman | Student in an Organized Health Care Education/Training Program | Mercy Health St Vincent Medical Center, 2213 Cherry St Acc 1st Floor, Topedo, OH 43608 | 2020-04-24 |
| 1841853694 | Casey Clark | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Ambulatory Care Center 1st Floor, Toledo, OH 43608 | 2019-04-17 |
| 1164910899 | Israr Ul Haq | Student in an Organized Health Care Education/Training Program | Mercy St. Vincent Medical Center, 2213 Cherry St., Toledo, OH 43608 | 2018-04-27 |
| 1124516380 | Alexander Payvandi | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Fl, Toledo, OH 43608 | 2018-04-24 |
| Find all providers in zip 43608 | ||||
| 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 |
|---|---|---|---|---|
| 1548765126 | Alex Lu | Emergency Medicine | 3000 Arlington Ave., Mailstop 1088, 2456 Dowling Hall, Toledo, OH 43614 | 2018-03-27 |
| 1871097253 | Scotty Fulton | Emergency Medicine | 2213 Cherry Street, Acc, 1st Floor, Toledo, OH 43608 | 2018-03-21 |
| 1174058267 | Fenil Kholwadwala | Emergency Medicine | 2109 Hughes Dr Fl 3, Toledo, OH 43606-3856 | 2017-04-26 |
| 1376076927 | Maxwell Joseph Buchwalder | Emergency Medicine | 2213 Cherry St, Acc Bldg 1st Floor, Mercy St Vincent Medical Center, Em Residency Program, Toledo, OH 43608 | 2017-04-10 |
| 1699207514 | Kent Weaver | Emergency Medicine | Acc Trauma Clinic 2213 Cherry Street, Toledo, OH 43608 | 2017-03-30 |
| 1386091957 | Siddharth Bangar | Emergency Medicine | 3600 Arlington Avenue, Toledo, OH 43614 | 2016-05-24 |
| 1134576531 | Najim Ward | Emergency Medicine | 3600 Arlington Ave., Toledo, OH 43614-5807 | 2016-05-16 |
| 1659733863 | Jason Michael Driggs | Emergency Medicine | 3000 Arlington Ave # Ms 1088, Toledo, OH 43614-2595 | 2016-03-26 |
| 1144635210 | Paul Martin Ferreira Leonard | Emergency Medicine | 5923 Renaissance Pl, Toledo, OH 43623-4709 | 2014-06-26 |
| 1760794804 | Paul Francis Bucchi | Emergency Medicine | 3600 Arlington Ave, Ms 1088, Toledo, OH 43614-2595 | 2010-07-06 |
| Find all providers in TOLEDO | ||||
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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.