EARL BARRY BREELAND (NPI# 1932136306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932136306 |
| Entity Type | Individual |
| Full Name | EARL BARRY BREELAND |
| Credential | MD |
| Practice Address |
79-01 Broadway Room A1-9 Elmhurst NY 11373-1329 |
| Practice Telephone | 7183344952 |
| Practice Fax Number | 7183344815 |
| Mailing Telephone | 7183344952 |
| Mailing Fax Number | 7183344815 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 156005 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00828735 | 05 |
| Street Address |
79-01 BROADWAY ROOM A1-9 |
| City | ELMHURST |
| State | NY |
| Zip Code | 11373-1329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710645 | Mike Gnoinski | Pharmacist | 79-01 Broadway, Elmhurst, NY 11373-1329 | 2020-11-02 |
| 1215537162 | Lidia America Zhinin | Social Worker | 79-01 Broadway, Annex O - 4th Floor, Elmhurst, NY 11373 | 2020-10-29 |
| 1124634191 | Jorge L. Oyola | Counselor | 79-01 Broadway, Elmhurst, NY 11373 | 2020-09-16 |
| 1790303782 | Temi-ete Irene Ediale | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, Room A1-t1, Elmhurst, NY 11373 | 2020-07-07 |
| 1639796816 | Saranyan Senthelal | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, Elmhurst, NY 11373 | 2020-07-03 |
| 1326665936 | Nelson Jorge Rubio Giraldo | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, Elmhurst, NY 11373 | 2020-06-30 |
| 1588289557 | Laureen Carmela Lukban | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, Room A7-94, Elmhurst, NY 11373-1329 | 2020-06-15 |
| 1508481193 | Andres Fernando Rivera | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, Elmhurst, NY 11373 | 2020-06-10 |
| 1033733142 | Sahithi Pemmasani | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, Elmhurst, NY 11373 | 2020-06-04 |
| 1235753468 | Isabella Andrea Vallenilla | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, Elmhurst Hospital, Elmhurst, NY 11373 | 2020-06-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
| 1912524034 | Jurian Feygen Kaunang | Student in an Organized Health Care Education/Training Program | Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 | 2020-07-06 |
| 1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
| 1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
| 1568091452 | Nudjarin Unsin | Licensed Practical Nurse | 7517 41stave, Apt.f3, Elmhurst, NY 11373 | 2020-04-03 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1821647926 | Shahorin Monzoor | Student in an Organized Health Care Education/Training Program | 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 | 2019-09-11 |
| 1174184600 | Zoila Josefina Cano Rodriguez | Student in an Organized Health Care Education/Training Program | 7802 41st Ave, Elmhurst, NY 11373 | 2019-06-25 |
| 1891355756 | Kanghee Cho | Registered Nurse | 4143 77th St Elmhurst, Elmhurst, NY 11373 | 2019-06-13 |
| 1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
| Find all providers in zip 11373 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043498678 | Gordon J. Kinzler, M.d.,s.c. | Urology | 1200 S York Rd Ste 4290, Elmhurst, IL 60126-5632 | 2008-02-06 |
| 1851499149 | Krishna Jhaveri | Urology | 6008 Junction Blvd, Elmhurst, NY 11373-5071 | 2006-09-20 |
| 1700806353 | Vedantham - Srinivasan | Urology | 707 N York St Ste 101, Elmhurst, IL 60126-1624 | 2006-07-19 |
| 1679501928 | Roberto E Granato | Urology | 4046 75th St, Elmhurst, NY 11373-1012 | 2006-06-28 |
| 1649254178 | Ihab Rafik Awad | Urology | 88-12 Queens Blvd., Elmhurst, NY 11373 | 2005-11-29 |
| 1023437647 | Krishna K. Jhaveri Physician PC | Urology | 6008 Junction Blvd, Elmhurst, NY 11373-5071 | 2014-04-10 |
| 1487936274 | Krishna K Jhaveri Physician PC | Urology | 6008 Junction Blvd, Suite #a1, Elmhurst, NY 11373-5071 | 2011-09-16 |
| 1194015248 | Zuhair Hussaini | Urology | 1200 S York St, Suite 2000, Elmhurst, IL 60126 | 2011-04-11 |
| 1851521157 | Mount Sinai School of Medicine | Urology | 7901 Broadway, Room A1-9, Elmhurst, NY 11373-1329 | 2009-07-21 |
| 1750577615 | Roberto C. Granato, Mdpc | Urology | 4046 75th St, Elmhurst, NY 11373-1012 | 2007-09-24 |
| Find all providers in ELMHURST | ||||
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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.