Matthew A Braniecki (NPI# 1992062012, PAC ID# 1557674611) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1992062012 |
| PAC ID by PECOS | 1557674611 |
| Professional Enrollment ID | I20150717001823 |
| Full Name | Matthew A Braniecki |
| Organization Legal Name | NORTH COAST PROFESSIONAL COMPANY, LLC |
| Address |
3960 E Harbor Rd Port Clinton OH 43452-2670 |
| Phone Number | 4197320700 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6305810201 |
| Number of Group Practice Members | 82 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360025 | FIRELANDS REGIONAL MEDICAL CENTER |
| 361314 | H B MAGRUDER MEMORIAL HOSPITAL |
| 360180 | CLEVELAND CLINIC |
| Address | Phone | Organization |
|---|---|---|
| 3960 E Harbor Rd, Port Clinton, OH 43452-2670 | 4197320700 | NORTH COAST PROFESSIONAL COMPANY, LLC |
| Organization Legal Name | NORTH COAST PROFESSIONAL COMPANY, LLC |
| Physicians | 69 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Kearney | Nurse Practitioner | North Coast Professional Company, LLC | 1470w Mcpherson Hwy, Clyde, OH 43410-1010 |
| Jennifer M Kaple | Nurse Practitioner | North Coast Professional Company, LLC | 703 Tyler St, Sandusky, OH 44870-3391 |
| Thomas P Felter | Pain Management | North Coast Professional Company, LLC | 3960 E Harbor Rd, Port Clinton, OH 43452-2670 |
| Colleen C Barry | Nurse Practitioner | North Coast Professional Company, LLC | 292 Benedict Ave, Norwalk, OH 44857-2374 |
| Huyen Ngoc Bartholomew | Family Medicine | North Coast Professional Company, LLC | 1605 State Rd, Suite 60, Vermilion, OH 44089-9141 |
| Anupam A Jha | Psychiatry | North Coast Professional Company, LLC | 1221 Hayes Ave, Suite J, Sandusky, OH 44870-3345 |
| Laurie Ann Rousseau | Family Medicine | North Coast Professional Company, LLC | 300 Williams St, Huron, OH 44839-1648 |
| Sally A Royston | Nurse Practitioner | North Coast Professional Company, LLC | 675 Bartson Rd, Fremont, OH 43420-9672 |
| Seth M Ruggles | Family Medicine | North Coast Professional Company, LLC | 348 Milan Ave, Suite 2, Norwalk, OH 44857-1173 |
| Brett R Kuns | General Practice | North Coast Professional Company, LLC | 101 S Washington St, Castalia, OH 44824-9295 |
| Street Address |
3960 E HARBOR RD |
| City | PORT CLINTON |
| State | OH |
| Zip | 43452-2670 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas P Felter | Pain Management | North Coast Professional Company, LLC | 3960 E Harbor Rd, Port Clinton, OH 43452-2670 |
| Essam Elashi | Nephrology | North Coast Professional Company, LLC | 3960 E Harbor Rd, Port Clinton, OH 43452-2670 |
| Barbara A Vonthron | Nurse Practitioner | North Coast Professional Company, LLC | 3960 E Harbor Rd, Port Clinton, OH 43452-2670 |
| James Berry | Orthopedic Surgery | North Coast Professional Company, LLC | 3960 E Harbor Rd, Port Clinton, OH 43452-2670 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard L Kendall | Emergency Medicine | 135 W Perry St, Port Clinton, OH 43452-1010 | |
| Kevin Michael Francis | Chiropractic | 113 Madison St, Port Clinton, OH 43452-1103 | |
| David Harold George | Optometry | Lake Erie Family Eyecare LLC | 222 Jefferson St, Port Clinton, OH 43452-1141 |
| Jennifer S Felbinger | Optometry | Lake Erie Family Eyecare LLC | 222 Jefferson St, Port Clinton, OH 43452-1141 |
| Joseph A Darr | Chiropractic | 125 E 3rd St, Port Clinton, OH 43452-1186 | |
| Michelle A Rathfelder | Clinical Social Worker | Firelands Regional Medical Center | 335 Buckeye Blvd, Port Clinton, OH 43452-1423 |
| Heather Mccool | Clinical Social Worker | Firelands Regional Medical Center | 335 Buckeye Blvd, Port Clinton, OH 43452-1423 |
| Andrea N Hayes | Physician Assistant | Promedica Central Physicians LLC | 1854 E Perry St, Promedica Phys Ob/gyn, Port Clinton, OH 43452-1578 |
| Lori A Jesberger | Nurse Practitioner | Promedica Central Physicians LLC | 1854 E Perry St, Promedica Phys Ob/gyn, Port Clinton, OH 43452-1578 |
| Glenn P Chapman Ii | Chiropractic | 312 W 3rd St, Port Clinton, OH 43452-1846 | |
| Find all physicians in zip 43452 | |||
| City | PORT CLINTON |
| Zip Code | 43452 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PORT CLINTON + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.