BRYAN FALLIS (NPI# 1720467004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720467004 |
| Entity Type | Organization |
| Organization Name | BRYAN FALLIS |
| Practice Address |
1210 Ky Highway 36 E Cynthiana KY 41031-7498 |
| Practice Telephone | 8593412440 |
| Practice Fax Number | 8593412449 |
| Mailing Telephone | 8593412440 |
| Mailing Fax Number | 8593412449 |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2020-01-29 |
| Authorized Official Name | BRYAN FALLIS (DPM/OWNER) |
| Authorized Official Telephone | 8593412440 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1649405259 | Bryan Fallis | Podiatrist | 1577 Goodman Ave Ste A, Cincinnati, OH 45224-1044 | 2009-05-27 |
| Street Address |
1210 KY HIGHWAY 36 E |
| City | CYNTHIANA |
| State | KY |
| Zip Code | 41031-7498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427056167 | Josh Utah Hill | Physician Assistant | 1210 Ky Highway 36 E, Cynthiana, KY 41031-7490 | 2005-07-07 |
| 1750997961 | Brittanie Lynn Royse | Counselor | 1210 Ky Highway 36 E, Cynthiana, KY 41031-7498 | 2020-09-22 |
| 1992362982 | Michelle R. Gooslin | Clinical Nurse Specialist | 1210 Ky Highway 36 E, Cynthiana, KY 41031-7490 | 2019-05-24 |
| 1629579578 | Christie Lynn Phillips-fearis | Nurse Practitioner | 1210 Ky Highway 36 E, Cynthiana, KY 41031-7490 | 2018-02-26 |
| 1952800195 | Kyla Lee Anderson | Clinical Nurse Specialist | 1210 Ky Highway 36 E, Cynthiana, KY 41031-7490 | 2018-02-02 |
| 1427561778 | Kristen Becker | Specialist/Technologist | 1210 Ky Highway 36 E, Cynthiana, KY 41031-7490 | 2017-11-08 |
| 1073970117 | Rees E. Feeback | Nurse Anesthetist, Certified Registered | 1210 Ky Highway 36 E, Cynthiana, KY 41031-7490 | 2016-01-20 |
| 1992180210 | Ronald Stanley | Pharmacist | 1210 Ky Highway 36 E, Cynthiana, KY 41031-7490 | 2015-07-28 |
| 1225421126 | Parke Physicians Pllc | Clinic/Center | 1210 Ky Highway 36 E, Cynthiana, KY 41031-7498 | 2015-03-17 |
| 1780072306 | Kelsey Ann Neumann | Emergency Medical Technician, Basic | 1210 Ky Highway 36 E, Cynthiana, KY 41031-7490 | 2015-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588105183 | Suelynn Carter | Peer Specialist | 257 Parkland Heighgts, Cynthiana, KY 41031 | 2017-03-15 |
| 1386875656 | Parkside Manor LLC | Custodial Care Facility | 317 Oddville Avenue, Suite B, Cynthiana, KY 41031 | 2009-08-04 |
| 1467683730 | Shady Lawn LLC | Custodial Care Facility | 108 South Miller Street, Cynthianan, KY 41031 | 2009-08-04 |
| 1326239369 | Wedco District Health Department | Public Health or Welfare | 2415 U.s 27 North, Cynthiana, KY 41031 | 2007-08-06 |
| 1134329881 | Janet Olson | Licensed Practical Nurse | 2207 Shadynook Pike, Cynthiana, KY 41031 | 2007-07-20 |
| 1992836498 | Wal-mart Stores East, L.p. | Technician/Technologist | 805 Us 275, Cynthiana, KY 41031 | 2007-03-08 |
| 1760526909 | Urologic Associates Cynthiana | Specialist | 1210 Kentukcy Hwy 36 E, Cynthiana, KY 41031 | 2007-02-19 |
| 1376684571 | David Allen Shadd II | Psychologist | 111 North Main St., Cynthiana, KY 41031 | 2007-02-09 |
| 1265588990 | Womens Health Clinic of Cynthiana | Obstetrics & Gynecology | 1210 Ky Hwy 36 East, Suite G4, Cynthiana, KY 41031 | 2007-01-26 |
| 1578646204 | Julian Valenton Castillo Jr. | General Practice | 1210 Ky Hwy 36e G1, Cynthiana, KY 41031 | 2006-10-24 |
| Find all providers in zip 41031 | ||||
| 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 |
|---|---|---|---|---|
| 1063844322 | Sofie Lavinia Pinney | Podiatrist | 1210 Ky Highway 36 E, Cynthiana, KY 41031-7490 | 2013-08-08 |
| 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 | ||||
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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.