DR. BRIAN JOHN MCKINNON (NPI# 1316945819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316945819 |
| Entity Type | Individual |
| Full Name | DR. BRIAN JOHN MCKINNON |
| Credential | MD |
| Practice Address |
219 N Broad St 10th Floor Philadelphia PA 19107-1519 |
| Mailing Address |
212 Idris Rd Apt D3 Merion Station PA 19066-1654 |
| Practice Telephone | 2157625530 |
| Practice Fax Number | 2157625540 |
| Mailing Telephone | 7062889835 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2017-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
266323 | MA | Allopathic & Osteopathic Physicians |
| N | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
D0042364 | MD | Allopathic & Osteopathic Physicians |
| N | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
29225 | SC | Allopathic & Osteopathic Physicians |
| N | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
057724 | GA | Allopathic & Osteopathic Physicians |
| N | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
49277 | TN | Allopathic & Osteopathic Physicians |
| Y | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
MD | PA | Allopathic & Osteopathic Physicians |
| N | 207YX0901X |
Otolaryngology Specialization: Otology & Neurotology |
0101058765 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1032208420002 | 05 |
| Street Address |
219 N BROAD ST 10TH FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457356917 | Jeffrey Brian Hoag | Internal Medicine | 219 N Broad St, 9th Floor, Philadelphia, PA 19107-1519 | 2005-06-20 |
| 1346872116 | Tower Drexel Academic Medical Group LLC | Family Medicine | 219 N Broad St, 8th Fl, Philadelphia, PA 19107-1519 | 2020-02-10 |
| 1629638374 | Osama Mufti | Ophthalmology | 219 N Broad St, Philadelphia, PA 19107-1519 | 2019-06-15 |
| 1538510730 | Emily Gnatt | Audiologist | 219 N Broad St, 10th Floor, Philadelphia, PA 19107-1519 | 2016-06-29 |
| 1295100493 | Jessica Cerasoli | Physician Assistant | 219 N Broad St, Philadelphia, PA 19107-1519 | 2015-12-14 |
| 1992129522 | Zachari Breeding | Dietitian, Registered | 219 N Broad St, 9th Floor, Philadelphia, PA 19107-1519 | 2014-02-18 |
| 1588915649 | Danielle Elizabeth Brown | Physician Assistant | 219 N Broad St, 7th Floor, Philadelphia, PA 19107-1519 | 2012-09-28 |
| 1487918611 | Andrew Ow | Family Medicine | 219 N Broad St, 1st Floor, Philadelphia, PA 19107-1519 | 2012-07-03 |
| 1396006508 | Jing Xing Zhang | Dermatology | 219 N Broad St, 4th Floor, Philadelphia, PA 19107-1519 | 2012-06-04 |
| 1114286614 | Kelly Anne Williamson | Ophthalmology | 219 N Broad St, 3rd Floor, Philadelphia, PA 19107-1519 | 2012-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 207YX0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otology & Neurotology |
| An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407015233 | Sidney N Busis | Otolaryngology | 146 Hartwood Dr, Pittsburgh, PA 15208-2702 | 2008-06-06 |
| 1245292309 | Andrew M Wakstein | Otolaryngology | 217 Franklin Ave, Suite 5, Palmerton, PA 18071-1509 | 2006-04-04 |
| 1316943624 | Deborah Anderson Eaton | Otolaryngology | 1099 Ohio River Blvd, Sewickley, PA 15143-2056 | 2005-06-22 |
| 1194143107 | Philip Perez | Otolaryngology | 203 Lothrop St, Pittsburgh, PA 15213-2548 | 2014-04-07 |
| 1245492735 | Jacob S Mcafee | Otolaryngology | 200 Lothrop St, Suite 500, Eye and Ear Institute, Pittsburgh, PA 15213-2536 | 2008-06-26 |
| 1821257510 | Andleeb Khan | Otolaryngology | 420 E North Ave, Suite 402, Pittsburgh, PA 15212-4746 | 2008-06-06 |
| 1750403804 | Edward S Weisberg Md Assoc.,inc. | Otolaryngology | 2545 Mosside Blvd, Monroeville, PA 15146-3520 | 2007-04-06 |
| 1295818599 | Douglas A. Chen | Otolaryngology | 420 E North Ave, Suite 402, Pittsburgh, PA 15212-4746 | 2006-10-23 |
| 1043390669 | Pittsburgh Ear Associates PC | Otolaryngology | 420 E North Ave, Suite 402, Pittsburgh, PA 15212-4746 | 2006-10-17 |
| 1063592673 | Todd A. Hillman | Otolaryngology | 420 E North Ave, Suite 402, Pittsburgh, PA 15212-4746 | 2006-10-17 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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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.