BREANNE M JAQUA


Address: 2213 Cherry St Fl 1, Emergency Medicine Residency - St. Vincent Medical Cent, Toledo, OH 43608-2603
Phone: 4192514724

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
2213 Cherry Street, Acc Trauma Clinic, Toledo, OH 43608 4192514283 4192510814

Office Location

Street Address 2213 CHERRY ST FL 1
EMERGENCY MEDICINE RESIDENCY - ST. VINCENT MEDICAL CENT
City TOLEDO
State OH
Zip Code 43608-2603

Providers in the same zip code

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 Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City TOLEDO
Zip Code 43608

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Dataset Information

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.

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