BRYAN FALLIS (NPI# 1649405259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649405259 |
| Entity Type | Organization |
| Organization Name | BRYAN FALLIS |
| Other Organization Name | PROGRESSIVE PODIATRY |
| Practice Address |
1577 Goodman Ave Ste A Cincinnati OH 45224-1044 |
| Mailing Address |
Po Box 636389 Cincinnati OH 45263-0001 |
| Practice Telephone | 5139310083 |
| Practice Fax Number | 8593312449 |
| Mailing Telephone | 5139310083 |
| Mailing Fax Number | 8593312449 |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2020-01-29 |
| Authorized Official Name | DR. BRYAN V. FALLIS (OWNER) |
| Authorized Official Telephone | 5139310083 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2955422 | 05 | |
| ANTHEM | 000000619072 | 01 | |
| OH | 2214213 | 05 |
| 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 |
| 1023432853 | Bryan Fallis | Durable Medical Equipment & Medical Supplies | 238 Barnes Rd, Williamstown, KY 41097-9482 | 2014-02-14 |
| 1720314966 | Bryan Fallis | Podiatrist | 2300 Chamber Center Dr, Suite 100, Lakeside Park, KY 41017-1673 | 2009-10-22 |
| Street Address |
1577 GOODMAN AVE STE A |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45224-1044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841213667 | Waymon L Wallace | Internal Medicine | 1577 Goodman Ave Ste A, Cincinnati, OH 45224-1044 | 2006-07-25 |
| 1649657222 | Jacqueline Marie Schmidt | Registered Nurse | 1577 Goodman Ave Ste A, Cincinnati, OH 45224-1044 | 2015-05-02 |
| 1144527870 | Wallace Physician Services LLC | Internal Medicine | 1577 Goodman Ave Ste A, Cincinnati, OH 45224-1044 | 2011-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679035653 | Twin Towers | Assisted Living Facility | 5343 Hamilton Avenue, Attn: Lec Finance, Cincinnati, OH 45224 | 2019-04-01 |
| 1376025700 | Lashonda Ferguson | Licensed Practical Nurse | 6465 Devonwood . Drive, Cincinnati, OH 45224 | 2018-09-01 |
| 1992205082 | Crystal Mccray | Massage Therapist | 6204 Hamilton Avenue, Suite 6 D, Cincinnati, OH 45224 | 2018-02-15 |
| 1023517927 | Queen City Medical Transport | Non-emergency Medical Transport (VAN) | 824 W. North Bend, Unit 2 Box #5, Cincinnati, OH 45224 | 2018-02-06 |
| 1982123311 | Brenda Frost Mitchel | Counselor | 5837 Hamilton Avenue, Cincinnati, OH 45224 | 2017-09-18 |
| 1043732522 | Deborah Ann Whitlock | Registered Nurse | 6404 Aspen Way, #2, Cincinnati, OH 45224 | 2017-07-17 |
| 1225403488 | Tierria Suggs | Home Health Aide | 1442 Marlowe Ave, Cincinnati, OH 45224 | 2015-12-14 |
| 1417370305 | Bobby Jordan | Social Worker | 5800 Salvia Avenue, Cincinnati, OH 45224 | 2014-01-28 |
| 1528333697 | Lynn Mary Fitzwater | Registered Nurse | 6484 Teakwood Ct, Cincinnati, OH 45224 | 2012-03-21 |
| 1063782282 | Markiana S. Cornist | Licensed Practical Nurse | 6240 Hamilton Ave Ste 6c, Cincinnati, OH 45224 | 2012-01-04 |
| Find all providers in zip 45224 | ||||
| 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 |
|---|---|---|---|---|
| 1679816631 | Robert Winston Craig | Podiatrist | 7545 Beechmont Ave., Cincinnati, OH 45255-4231 | 2013-03-28 |
| 1003164518 | Family Foot & Ankle Center Inc Pa | Podiatrist | 4450 Eastgate Blvd, #232, Cincinnati, OH 45245-1591 | 2012-08-15 |
| 1396041612 | Family Foot & Ankle Center, Inc. | Podiatrist | 5525 Marie Avenue, Cincinnati, OH 45248-0000 | 2011-02-03 |
| 1760788087 | Family Foot & Ankle Center, Inc. | Podiatrist | 4130 Dry Ridge Road, Cincinnati, OH 45252-0000 | 2011-02-03 |
| 1033434899 | Choice Podiatry Associates Inc | Podiatrist | 9443 Reading Rd, Cincinnati, OH 45215-3550 | 2010-04-05 |
| 1881825628 | Todd Schmidgall Dpm | Podiatrist | 1548 Addingham Pl, Cincinnati, OH 45223-1712 | 2009-07-28 |
| 1114193414 | Choice Podiatry Associates Inc | Podiatrist | 4455 Bridgetown Rd, Cincinnati, OH 45211-4442 | 2008-05-06 |
| 1740476886 | Mahbod Arefi | Podiatrist | 1958 Finsbury Ct, Cincinnati, OH 45230-2116 | 2007-09-22 |
| 1407904808 | Pradip Seth | Podiatrist | 6320 East Kemper Road, Suite 100, Cincinnati, OH 45241 | 2007-01-08 |
| 1043391659 | Patricia L Lowstuter | Podiatrist | 5992 Cheviot Rd, Cincinnati, OH 45247 | 2006-10-18 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45224 |
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.