MATTHEW A BRANIECKI (NPI# 1992062012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992062012 |
| Entity Type | Individual |
| Full Name | MATTHEW A BRANIECKI |
| Credential | D.O. |
| Practice Address |
3960 E Harbor Rd Port Clinton OH 43452-2670 |
| Mailing Address |
1031 Pierce St Suite D Sandusky OH 44870-4669 |
| Practice Telephone | 4197320700 |
| Practice Fax Number | 4197320702 |
| Mailing Telephone | 4195575568 |
| Mailing Fax Number | 4195575542 |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2019-08-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34011656 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0121443 | 05 |
| Street Address |
3960 E HARBOR RD |
| City | PORT CLINTON |
| State | OH |
| Zip Code | 43452-2670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174866164 | Matthew Widmer | Family Medicine | 3960 E Harbor Rd, Port Clinton, OH 43452 | 2013-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598280612 | Sharon Kay Garber | Pharmacist | 2028 E. Harbor Road, Port Clinton, OH 43452 | 2017-08-09 |
| 1649794983 | Hannah Claire Becker | Dentist | 327 Buckeye Blvd., Port Clinton, OH 43452 | 2017-07-28 |
| 1154855674 | Taylor Anne Vanness | Nurse's Aide | 1195 W Fremont Rd Apt 11, Port Clinton, OH 43452 | 2017-04-12 |
| 1053850230 | Shari Anderson | Home Health Aide | 3850 W Harbor Rd, Port Clinton, OH 43452 | 2017-02-21 |
| 1346647146 | Nancy A. Barna | Massage Therapist | 226 Adams Street, Port Clinton, OH 43452 | 2014-11-24 |
| 1710396155 | Justa Smith | Social Worker | 126 E Perry St, Port Clinton, OH 43452 | 2014-08-11 |
| 1366871246 | Dorothy Wilken | Counselor | 335 Buckeye Blvd., Port Clinton, OH 43452 | 2013-11-01 |
| 1801224563 | Township of Erie Township Trustees | Ambulance | 5585 W. Harbor Road, Lacarne, OH 43452 | 2013-10-16 |
| 1417286527 | Independent Choices, Inc. | Day Training, Developmentally Disabled Services | 1854 E. Perry St., Port Clinotn, OH 43452 | 2009-12-18 |
| 1235314311 | Katherine Sue Turner | Physician Assistant | 615 Fulton St., Port Clinton, OH 43452 | 2008-01-08 |
| Find all providers in zip 43452 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982797668 | David Andrew Bodie | Family Medicine | 621 Fulton St, Port Clinton, OH 43452 | 2006-10-02 |
| 1457469751 | Carl W. Steele | Family Medicine | 619 Fulton St, Port Clinton, OH 43452-2069 | 2006-08-27 |
| 1114955531 | Daniel G Cadigan | Family Medicine | 2861 E Harbor Rd, Port Clinton, OH 43452-2665 | 2006-06-28 |
| 1346233426 | Thomas Daniel Rowe | Family Medicine | 611 Fulton St., Port Clinton, OH 43452-9296 | 2005-08-24 |
| 1174866164 | Matthew Widmer | Family Medicine | 3960 E Harbor Rd, Port Clinton, OH 43452 | 2013-03-28 |
| 1902046782 | Dennis J Buono Do Inc | Family Medicine | 2621 E Harbor Rd, Port Clinton, OH 43452-2607 | 2009-03-06 |
| 1790996262 | Karen L Klaege | Family Medicine | 621 Fulton St, Port Clinton, OH 43452-2034 | 2007-05-25 |
| 1518093475 | Harbor Light Health Care Corp | Family Medicine | 1250 Fulton St, Port Clinton, OH 43452-9296 | 2007-02-26 |
| 1518050152 | James Alexander Mclean | Family Medicine | 621 Fulton St, Port Clinton, OH 43452 | 2006-10-02 |
| 1811907355 | Marc Leduc | Family Medicine | 2861 E Harbor Rd, Port Clinton, OH 43452-2665 | 2006-08-08 |
| Find all providers in PORT CLINTON | ||||
| City | PORT CLINTON |
| Zip Code | 43452 |
Please comment or provide details below to improve the information on MATTHEW A BRANIECKI.
| 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.