DR. MICHAEL JORDAN BRASSELL (NPI# 1932763927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932763927 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JORDAN BRASSELL |
| Practice Address |
140 Nutt Rd Phoenixville PA 19460-3906 |
| Practice Telephone | 6109831000 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC006998 | PA | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 89 Orchard Ct, Royersford, PA 194682923 | 8013954269 |
| Street Address |
140 NUTT RD |
| City | PHOENIXVILLE |
| State | PA |
| Zip Code | 19460-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053317768 | Lisa Anne Santoro | Nurse Anesthetist, Certified Registered | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2005-06-27 |
| 1407466444 | Lashay Tamaine Davis | Nurse Practitioner | 140 Nutt Rd, Phoenixville, PA 19460-3900 | 2020-08-04 |
| 1922625714 | Marcus James Duval | Podiatrist | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2020-06-29 |
| 1316564107 | Tymoteusz Jakub Siwy | Podiatrist | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2020-06-29 |
| 1881210813 | Stc Pediatrics LLC | Pediatrics | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2020-06-25 |
| 1578186276 | Annika Moline | Registered Nurse | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2020-05-28 |
| 1508487372 | Denise Petrino Kershner | Physical Therapist | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2020-05-02 |
| 1275173957 | Phoenixville Clinic Company LLC | Internal Medicine | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2020-01-10 |
| 1942844816 | Shannon Stenson | Physician Assistant | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2019-11-04 |
| 1770124539 | Michael Van Etten | Physician Assistant | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2019-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537030 | Dominique Butz | Counselor | 100 Yearsley Mill Road, Lima, PA 19460 | 2020-10-30 |
| 1801360573 | Pennsylvania Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 710 Wheatland St Ste 1, Phoenixville, PA 19460 | 2019-01-16 |
| 1518482702 | Megan Blair Webb | Massage Therapist | 215 Pine Drive, Phoenixville, PA 19460 | 2017-08-08 |
| 1053867697 | Steven Mehl | Psychologist | 865 Woodlawn Ave., Phoenixville, PA 19460 | 2016-09-01 |
| 1023564762 | Elizabeth Tarka | Internal Medicine | 111 Waverly Circle, Phoenixville, PA 19460 | 2016-09-01 |
| 1477901874 | Valley Forge Family Dentistry | Clinic/Center | 1288 Valley Forge Rd #70, Valley Forge, PA 19460 | 2016-05-26 |
| 1184088429 | Gisselle Vargas | Massage Therapist | 220 Third Ave, Phoenixville, PA 19460 | 2016-04-13 |
| 1992179022 | Monir Morgan | Counselor | 1041 West Bridge Street, Phoenixville, PA 19460 | 2015-12-01 |
| 1437531548 | Hiteshkumar K Nada | Dentist | 247 Schuylkill Road Phoenixville, Phoenixville, PA 19460 | 2015-06-25 |
| 1871995464 | Smart Serve Medical | Durable Medical Equipment & Medical Supplies | 69 Greenbriar Drive, Phoenixville, PA 19460 | 2014-09-25 |
| Find all providers in zip 19460 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625714 | Marcus James Duval | Podiatrist | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2020-06-29 |
| 1194386219 | Stephen Sinclair-hall | Podiatrist | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2019-06-28 |
| 1982264057 | Gilberto Ahmed Vila-arroyo | Podiatrist | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2019-06-19 |
| 1689160665 | Julie Lin | Podiatrist | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2018-07-02 |
| 1114412368 | Sokieu Mach | Podiatrist | 140 Nutt Rd, Phoenixville, PA 19460-3900 | 2018-06-28 |
| 1508386665 | Derek Scott Anselmo | Podiatrist | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2017-06-20 |
| 1235581281 | Michael Stott | Podiatrist | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2016-07-01 |
| 1548643109 | Caitlin C Dietrich | Podiatrist | 140 Nutt Rd, Phoenixville, PA 19460-3906 | 2015-07-01 |
| 1285054320 | Healthmark Foot and Ankle Associates, PC | Podiatrist | 824 Main St, Suite303, Phoenixville, PA 19460-4478 | 2014-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656208 | Delaney Wickramage | Podiatrist | 111 N 9th St Unit 203, Philadelphia, PA 19107-2449 | 2020-07-16 |
| 1841819463 | Michael A Savisky | Podiatrist | West Penn Hospital, 4800 Friendship Avenue/foot and Ankle Institute, Pittsburgh, PA 15224-1793 | 2020-04-14 |
| 1114551140 | Gretchen M Perschke | Podiatrist | 104 Technology Dr Ste 103, Butler, PA 16001-1801 | 2020-02-28 |
| 1912537960 | Brian J Morris | Podiatrist | 103 Tamara Dr, Old Forge, PA 18518-2342 | 2020-01-17 |
| 1205477973 | New Step Podiatry Associates, LLC | Podiatrist | 2076 Huber Dr, Quakertown, PA 18951-3888 | 2019-10-03 |
| 1336780345 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 4033 Linglestown Rd Ste 1, Harrisburg, PA 17112-1153 | 2019-10-01 |
| 1417598426 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2025 Technology Pkwy Ste 201, Mechanicsburg, PA 17050-9401 | 2019-10-01 |
| 1891345104 | Bay City Associates In Podiatry Inc | Podiatrist | 105 Mead Ave Ste A, Meadville, PA 16335-3531 | 2019-09-18 |
| 1093367203 | Gary A. Raymond Dpm PC | Podiatrist | 195 Memorial Dr Ste 6, Everett, PA 15537-7056 | 2019-07-09 |
| 1992357115 | Gary A. Raymond, Dpm, PC | Podiatrist | 1225 Warm Springs Avenue, 3rd Floor, Huntingdon, PA 16652-7146 | 2019-07-09 |
| Find all providers with the same taxonomy | ||||
| City | PHOENIXVILLE |
| Zip Code | 19460 |
Please comment or provide details below to improve the information on DR. MICHAEL JORDAN BRASSELL.
| 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.