MATTHEW DAVID BROCONE (NPI# 1750692943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750692943 |
| Entity Type | Individual |
| Full Name | MATTHEW DAVID BROCONE |
| Credential | MD |
| Practice Address |
395 W 12th Ave Columbus OH 43210-1267 |
| Practice Telephone | 4402419559 |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2016-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
57.020440 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301097082 | MI | Student, Health Care |
| Street Address |
395 W 12TH AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43210-1267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700875010 | George Patrick Cain | Radiology | 395 W 12th Ave, Rm 460, Columbus, OH 43210-1267 | 2005-10-19 |
| 1073135042 | Marissa Guo | Surgery | 395 W 12th Ave, Columbus, OH 43210-1267 | 2020-05-13 |
| 1508494915 | Miriam El-rif | Internal Medicine | 395 W 12th Ave, Columbus, OH 43210-1267 | 2020-03-31 |
| 1568099539 | Patrick Quinn | Student in an Organized Health Care Education/Training Program | 395 W 12th Ave, Columbus, OH 43210-1267 | 2020-03-26 |
| 1023640687 | Yazan Abu Orabi Al-adwan | Surgery | 395 W 12th Ave, Columbus, OH 43210-1267 | 2020-02-11 |
| 1811531841 | Karen Marie Galvez Flores | Internal Medicine | 395 W 12th Ave, Columbus, OH 43210-1267 | 2019-11-02 |
| 1114587714 | Andrea Benton | Nurse Practitioner | 395 W 12th Ave, Columbus, OH 43210-1267 | 2019-06-17 |
| 1932660560 | Nevin Regis Britto | Student in an Organized Health Care Education/Training Program | 395 W 12th Ave, Columbus, OH 43210-1267 | 2019-03-27 |
| 1184185969 | Cristina Maria Ortiz Villabona | Student in an Organized Health Care Education/Training Program | 395 W 12th Ave, Columbus, OH 43210-1267 | 2019-03-26 |
| 1972062925 | Christopher Dale Kanner | Student in an Organized Health Care Education/Training Program | 395 W 12th Ave, Columbus, OH 43210-1267 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1578191219 | Kaitlyn Greiner | Student in an Organized Health Care Education/Training Program | The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 | 2020-03-30 |
| 1265069280 | Meryl P Sudhakar | Student in an Organized Health Care Education/Training Program | 774 Prior Hall 376 W 10th Ave, Columbus, OH 43210 | 2020-03-27 |
| 1124653514 | William A Jansak | Nurse Practitioner | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 |
| 1114570058 | Suzanne Bartle Haring | Marriage & Family Therapist | 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 | 2019-07-19 |
| 1487207387 | Mehak Kaul | Dentist | 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2019-07-19 |
| 1043873920 | Andrew Kendle | Student in an Organized Health Care Education/Training Program | 774 Prior Hall, 374 W. 10th Ave, Columbus, OH 43210 | 2019-04-17 |
| 1093277840 | Cory Pettit | Student in an Organized Health Care Education/Training Program | The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 | 2019-04-02 |
| 1447711866 | Drew Michael S Donnell | Student in an Organized Health Care Education/Training Program | Osuwmc Dept of Surgery, 395 W. 12th Avenue, Room 662, Columbus, OH 43210 | 2019-03-28 |
| Find all providers in zip 43210 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343315 | Vascular Institute of Columbus, LLC. | Radiology | 6503 E Broad St Ste 200, Columbus, OH 43213-1693 | 2019-08-28 |
| 1134407158 | Columbus Vascular Center, LLC | Radiology | 4519 Woodruff Rd. Unit 17, Columbus, GA 31904 | 2011-07-25 |
| 1861014383 | Polaris Vein Center, LLC | Radiology | 1120 Polaris Pkwy Ste 110, Columbus, OH 43240-4042 | 2020-05-07 |
| 1083144976 | Ashley Sweeney | Radiology | 395 W 12th Ave, Columbus, OH 43210 | 2017-06-14 |
| 1285046672 | Alexandre Larue Da Silva | Radiology | 395 W 12th Ave Fl 4, Columbus, OH 43210-1267 | 2014-05-20 |
| 1780002238 | James Kingsbury II | Radiology | 395 W 12th Ave Fl 4, Columbus, OH 43210-1267 | 2014-04-02 |
| 1073938171 | Columbus Vascular Care LLC | Radiology | 6503 E Broad St, Columbus, OH 43213-1692 | 2014-02-26 |
| 1629338645 | Michael Robert Cline | Radiology | 395 W 12th Ave Fl 4, Columbus, OH 43210-1267 | 2012-05-23 |
| 1386878155 | David Rand Kirtland | Radiology | 100 E Campus View Blvd, Columbus, OH 43235-4647 | 2009-05-08 |
| 1184840290 | Brian Schirf | Radiology | 3525 Olentangy River Rd, Ste 5360, Columbus, OH 43214-3937 | 2007-04-17 |
| Find all providers in COLUMBUS | ||||
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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.