MR. CHRISTOPHER MATTHEW BRODERICK (NPI# 1831466549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831466549 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER MATTHEW BRODERICK |
| Credential | NP |
| Practice Address |
1977 Niles Rd Se Warren OH 44484-5118 |
| Mailing Address |
726 Wick Ave Youngstown OH 44505-2827 |
| Practice Telephone | 3307479551 |
| Practice Fax Number | 3308846120 |
| Mailing Telephone | 3307479551 |
| Mailing Fax Number | 3308846120 |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
12853-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1032 E Market St, Warren, OH 444836602 | 3307479551 | 3308846120 |
| 1390 S Arch Ave, Alliance, OH 446014111 | 3307479551 | 3308846120 |
| 175 E Broad St, Newton Falls, OH 444441708 | 3307479551 | 3308846120 |
| 1821 E Market St, Warren, OH 444836627 | 3307479551 | 3308846120 |
| 20265 Emery Rd, North Randall, OH 441284122 | 4405239966 | 2165842895 |
| 3132 Belmont Ave, Youngstown, OH 445051838 | 3307479551 | 3308846120 |
| 716 Tod Ave Sw, Warren, OH 444853608 | 3307479551 | 3308846120 |
| 726 Wick Ave, Youngstown, OH 445052827 | 3307479551 | 3308846120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467745711 | Christopher Cade Broderick | Chiropractor | 380 W Vista Hermosa Dr Ste 100, Green Valley, AZ 85614-1901 | 2011-05-19 |
| 1063753390 | Christopher Everett Broderick | Emergency Medicine | 2157 Main St, Buffalo, NY 14214-2648 | 2013-03-12 |
| Street Address |
1977 NILES RD SE |
| City | WARREN |
| State | OH |
| Zip Code | 44484-5118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750493029 | Christopher Brian Mccord | Dentist | 1977 Niles Rd Se, Warren, OH 44484-5118 | 2006-08-31 |
| 1871051037 | Allison Bottorff | Nurse Practitioner | 1977 Niles Rd Se, Warren, OH 44484-5118 | 2019-03-06 |
| 1699035899 | Genoa Healthcare, LLC | Pharmacy | 1977 Niles Rd Se, Warren, OH 44484-5118 | 2012-05-22 |
| 1942504089 | Ohio North East Health Systems, Inc | Counselor | 1977 Niles Rd Se, Warren, OH 44484-5118 | 2011-01-04 |
| 1033437702 | Ohio North East Health Systems, Inc | Family Medicine | 1977 Niles Rd Se, Warren, OH 44484-5118 | 2010-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
| 1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
| 1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
| 1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
| 1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
| 1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
| 1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
| 1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
| 1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
| 1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
| Find all providers in zip 44484 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
| 1629695598 | Souzan Siryani | Nurse Practitioner | 31700 Van Dyke Ave Ste A, Warren, MI 48093-7949 | 2020-06-26 |
| 1245856947 | Giavanna M Tkach | Nurse Practitioner | 1695 Niles Cortland Rd Ne Ste 2, Warren, OH 44484-1165 | 2020-06-19 |
| 1306461561 | Stephanie Dawn Ostetrico | Nurse Practitioner | 1454 Grove Ave Nw, Warren, OH 44483-3341 | 2020-06-13 |
| 1457983710 | Lisa Virginia Cameron | Nurse Practitioner | 14103 Lowe Dr, Warren, MI 48088-5735 | 2020-02-05 |
| 1659916955 | Joni Mccoy | Nurse Practitioner | 31110 Saratoga Ave, Warren, MI 48093-1619 | 2019-11-10 |
| 1811450760 | Stephanie Burbick | Nurse Practitioner | 8488 Black Oak Dr Ne, Warren, OH 44484-1615 | 2019-04-08 |
| 1336619964 | Alexis Valentino | Nurse Practitioner | 247 Oak Knoll Se, Warren, OH 44483 | 2018-11-27 |
| 1194291682 | Mary E Palumbo | Nurse Practitioner | 2517 Forest Springs Dr Se, Warren, OH 44484-5619 | 2018-10-23 |
| 1548735483 | Stephanie Gialdi | Nurse Practitioner | 8545 Common Rd Ste 200, Warren, MI 48093-6775 | 2018-10-08 |
| Find all providers in WARREN | ||||
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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.