DR. THEODORE M BRAUN (NPI# 1699778837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699778837 |
| Entity Type | Individual |
| Full Name | DR. THEODORE M BRAUN |
| Credential | MD |
| Practice Address |
2213 Cherry St 1st Floor Toledo OH 43608-2603 |
| Mailing Address |
2200 Jefferson Ave 5th Fl Toledo OH 43604-7101 |
| Practice Telephone | 4192515271 |
| Practice Fax Number | 4192516977 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2017-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 35038417 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0490080 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750708202 | Theodore Paul Braun | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-03-22 |
| Street Address |
2213 CHERRY ST 1ST FLOOR |
| City | TOLEDO |
| State | OH |
| Zip Code | 43608-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403579 | Christopher Robert Colter | Registered Nurse | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-10-06 |
| 1235736943 | Tessa Shea Palazzolo | Registered Nurse | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-10-06 |
| 1952916363 | Courtney Bea May | Social Worker | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-09-11 |
| 1083234975 | Landon Ryan Bowerbank | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-21 |
| 1255951380 | Sanju Riti Wadhwa | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-18 |
| 1770102360 | Mohinder Kaur Gill | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-13 |
| 1093334773 | Swathi Yarlagadda | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-13 |
| 1558980326 | Jillian Sampair | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-13 |
| 1427677129 | Huda Fatima | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-13 |
| 1235758079 | Megan Ilene Crotty | Student in an Organized Health Care Education/Training Program | 2213 Cherry St, Toledo, OH 43608-2603 | 2020-04-12 |
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| 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 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673839 | Omar Sallout | Surgery | 4430 N Holland Sylvania Rd Apt 4213, Toledo, OH 43623-3554 | 2020-06-11 |
| 1740710433 | John Leonard Luckoski | Surgery | 3000 Arlington Ave Fl Hall2, Toledo, OH 43614-2595 | 2017-06-14 |
| 1548623556 | Akiko Komura | Surgery | 3000 Arlington Ave # 1095, Toledo, OH 43614-2595 | 2016-03-29 |
| 1780926287 | Mustafa Adnan Al-jubouri | Surgery | 2109 Hughes Dr Ste 220, Toledo, OH 43606-5121 | 2013-03-22 |
| 1720369705 | Ward M Taylor | Surgery | 4117 Partridge Lane, Toledo, OH 43623 | 2011-09-02 |
| 1265753594 | Felix S Boecker | Surgery | 6057 Red Oak Dr, Toledo, OH 43615-1856 | 2010-06-22 |
| 1588624696 | Promedica Central Corporation of Michigan | Surgery | 1 Seagate # 800, Toledo, OH 43604-1558 | 2006-03-23 |
| 1508838913 | Donald B Campbell Md Inc | Surgery | 2109 Hughes, Ste 620, Toledo, OH 43606 | 2006-02-02 |
| 1558362491 | Marwan Ghazoul | Surgery | 2222 Cherry St Ste 1250, Toledo, OH 43608-2687 | 2005-08-02 |
| 1396745410 | Anthony Jay Raimonde | Surgery | 2213 Cherry St Ste Acc 200, Toledo, OH 43608-2603 | 2005-07-29 |
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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.