BRYAN DOUGLAS PIOTROWSKI (NPI# 1962586289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962586289 |
| Entity Type | Individual |
| Full Name | BRYAN DOUGLAS PIOTROWSKI |
| Credential | M.D. |
| Practice Address |
540 Maple Valley Dr Farmington MO 63640-1981 |
| Mailing Address |
540 Maple Valley Dr Farmington MO 63640 |
| Practice Telephone | (573) 756-1813 |
| Practice Fax Number | 5737561868 |
| Mailing Telephone | 5737561813 |
| Mailing Fax Number | 5737561868 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2007016520 | MO | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
2007016520 | MO | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
2007016520 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | LICENSE | 2007016520 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 610 Maple Valley Dr, Farmington, MO 636401976 | 5737561813 | 5737561868 |
| Street Address |
540 MAPLE VALLEY DR |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194262006 | Brittany N. Rogers | Physician Assistant | 540 Maple Valley Dr, Farmington, MO 63640-1981 | 2017-01-30 |
| 1336595198 | Heart and Vascular Associates LLC | Specialist | 540 Maple Valley Dr, Farmington, MO 63640-1981 | 2016-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881863009 | The Heart Health Center, PC | Internal Medicine | 620 Maple Valley Dr, Farmington, MO 63640-1976 | 2008-02-21 |
| 1598942468 | Alix Junior Tercius | Internal Medicine | University of Connecticut Health Center, 260 Farmington Ave, Farmington, CT 06032 | 2008-01-23 |
| 1477643179 | Utah Cardiology PC | Internal Medicine | 444 W Bourne Circle, Suite 200, Farmington, UT 84025 | 2006-10-13 |
| 1225023328 | Scott H West | Internal Medicine | 444 W Bourne Cir Ste 200, Farmington, UT 84025 | 2005-09-14 |
| 1952786055 | Hhc Health Care, LLC | Internal Medicine | 1151 Hazel Lane, Farmington, MO 63640 | 2015-07-30 |
| 1639515869 | Daniel Taylor Fronk | Internal Medicine | 444 W Bourne Cir Ste 200, Farmington, UT 84025-3657 | 2013-05-15 |
| 1053602672 | Mariam Shakir Azeem | Internal Medicine | 263 Farmington Ave, Farmington, CT 06032-1956 | 2011-04-30 |
| 1457650442 | Christopher Y Kim | Internal Medicine | 444 W Bourne Cir Ste 200, Farmington, UT 84025 | 2011-03-16 |
| 1427216860 | Juyong Lee | Internal Medicine | 263 Farmington Ave, Farmington, CT 06030-4038 | 2008-05-31 |
| 1417128372 | Cardiology Diagnostics, Ltd. | Internal Medicine | 1101 Weber Rd, Suite 105, Farmington, MO 63640-3326 | 2008-03-19 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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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.