BRYAN FALLIS (NPI# 1023432853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023432853 |
| Entity Type | Organization |
| Organization Name | BRYAN FALLIS |
| Other Organization Name | PROGRESSIVE PODIATRY |
| Practice Address |
238 Barnes Rd Williamstown KY 41097-9482 |
| Practice Telephone | 8593312440 |
| Mailing Telephone | 8593312440 |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2020-01-29 |
| Authorized Official Name | BRYAN V FALLIS (OWNER) |
| Authorized Official Telephone | 8593312440 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Progressive Podiatry | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720467004 | Bryan Fallis | Prosthetic/Orthotic Supplier | 1210 Ky Highway 36 E, Cynthiana, KY 41031-7498 | 2015-05-20 |
| 1720314966 | Bryan Fallis | Podiatrist | 2300 Chamber Center Dr, Suite 100, Lakeside Park, KY 41017-1673 | 2009-10-22 |
| 1649405259 | Bryan Fallis | Podiatrist | 1577 Goodman Ave Ste A, Cincinnati, OH 45224-1044 | 2009-05-27 |
| Street Address |
238 BARNES RD |
| City | WILLIAMSTOWN |
| State | KY |
| Zip Code | 41097-9482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114974813 | St Elizabeth Medical Center, Inc | General Acute Care Hospital | 238 Barnes Rd, Williamstown, KY 41097-9482 | 2006-05-28 |
| 1326590852 | St Elizabeth Medical Center Inc | Medicare Defined Swing Bed Unit | 238 Barnes Rd, Williamstown, KY 41097-9482 | 2016-11-01 |
| 1447598586 | Orthocincy | Orthopaedic Surgery | 238 Barnes Rd, Williamstown, KY 41097 | 2013-01-24 |
| 1831462548 | Oncology Hematology Care, Inc. | Internal Medicine | 238 Barnes Rd, Williamstown, KY 41097-9482 | 2012-02-13 |
| 1023340429 | Cincinnati Hematology-oncology, Inc. | Internal Medicine | 238 Barnes Rd, Williamstown, KY 41097-9482 | 2010-02-10 |
| 1174780647 | St Elizabeth Medical Center, Inc | Clinical Medical Laboratory | 238 Barnes Rd, Williamstown, KY 41097 | 2008-05-21 |
| 1427180629 | Comprehensive Cardiology Consultants, Inc. | Internal Medicine | 238 Barnes Rd, Williamstown, KY 41097-9482 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982974044 | Brenda Jean Snow | Occupational Therapy Assistant | 201 Kimberly Lane, Williamstown, KY 41097 | 2012-01-06 |
| 1215121272 | Air Evac Ems Inc. | Ambulance | 110 Mercedes Dr, Williamstown, KY 41097 | 2007-09-04 |
| 1184782690 | Foot Specialists of Greater Cincinnati | Podiatrist | 238 Barnes Road, St Elizabeth Grant County, Williamstown, KY 41097 | 2006-12-05 |
| 1972549202 | Michelle L Napier | Nurse Practitioner | 300 Helton Street, Williamstown, KY 41097 | 2006-06-22 |
| 1902892136 | Robert William Noelker | Psychologist | 1406 N Main Street, Williamstown, KY 41097 | 2005-09-22 |
| 1902092208 | Midlands Behavioral Medicine | Psychologist | 1406 N Main Street, Williamstown, KY 41097 | 2007-09-20 |
| 1386727907 | Mindy Craft | Psychologist | 308 Barnes Pike, Williamstown, KY 41097 | 2006-10-24 |
| 1225063837 | Nicole Writh | Technician, Other | 308 Barnes Pike, Williamstown, KY 41097 | 2006-07-11 |
| 1790715175 | Jill Turner | Technician, Other | 308 Barnes Pike, Williamstown, KY 41097 | 2006-07-03 |
| 1750311155 | Teresa Woodyard | Technician, Other | 308 Barnes Pike, Williamstown, KY 41097 | 2006-07-03 |
| Find all providers in zip 41097 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881716348 | Robert H Moss | Podiatrist | 1056 S Black Horse Pike, Apt K10, Williamstown, NJ 08094-1901 | 2007-04-04 |
| 1770674616 | Mark Anthony Di Medio | Podiatrist | 500 Sicklerville Rd, Williamstown, NJ 08094 | 2006-09-27 |
| 1649468299 | Williamstown Medical Associates | Podiatrist | 197 Adams Rd, Williamstown, MA 01267-2930 | 2007-10-09 |
| 1548259153 | Karen E. Dobe-costa | Podiatrist | 197 Adams Rd, Williamstown, MA 01267 | 2005-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366079543 | King's Daughters Medical Specialties, Inc. | Podiatrist | 1000 Ashland Dr Ste 104, Ashland, KY 41101-7092 | 2020-03-26 |
| 1578112983 | Peter Cunningham | Podiatrist | 1 Audubon Plaza Dr Ofc L2, Louisville, KY 40217-1318 | 2019-09-09 |
| 1447787676 | Jenna Vaught LLC | Podiatrist | 3407 Kerry Dr, Louisville, KY 40218-2131 | 2017-05-18 |
| 1528429289 | Carrie A. Tull, Dpm LLC | Podiatrist | 272 Redwing Dr, Winchester, KY 40391-2928 | 2016-03-09 |
| 1083907471 | Larry K Ketcherside | Podiatrist | 9110 Leesgate Rd, Louisville, KY 40222-5053 | 2011-05-18 |
| 1013210251 | Dr. Robert F Hailey, Dpm Psc | Podiatrist | 333 S 6th St, Mayfield, KY 42066-2309 | 2010-12-09 |
| 1558516054 | Jessica S Jackson Dpm Pllc | Podiatrist | 15014 Bircham Rd, Louisville, KY 40245-4104 | 2008-11-25 |
| 1568625903 | Janine A. Valentino | Podiatrist | 9880 Angies Way Suite 110, Louisville, KY 40241-2943 | 2008-07-07 |
| 1518134386 | Jennifer Benge Emery | Podiatrist | 427 Us 31w Byp Ste 202, Bowling Green, KY 42101-1703 | 2008-05-12 |
| 1760676092 | Advanced Foot Care of Northern Ky | Podiatrist | 1880 Ashwood Cir, Ft Wright, KY 41011-2602 | 2007-08-29 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSTOWN |
| Zip Code | 41097 |
Please comment or provide details below to improve the information on BRYAN FALLIS.
| 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.