Michael Patrick Brock (NPI# 1629051198, PAC ID# 3274539713) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1629051198 |
| PAC ID by PECOS | 3274539713 |
| Professional Enrollment ID | I20061006000068 |
| Full Name | Michael Patrick Brock |
| Organization Legal Name | CENTERS FOR FOOT AND ANKLE CARE LLC |
| Address |
10530 Harrison Ave Harrison OH 45030-2141 |
| Phone Number | 5133670775 |
| Gender | M |
| Credential | DPM |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 1557359742 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360234 | MERCY HEALTH - WEST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8621 Winton Rd, Cincinnati, OH 45231-4834 | 5135212300 | CENTERS FOR FOOT AND ANKLE CARE LLC |
| 10530 Harrison Ave, Harrison, OH 45030-2141 | 5133670775 | CENTERS FOR FOOT AND ANKLE CARE LLC |
| Organization Legal Name | CENTERS FOR FOOT AND ANKLE CARE LLC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Wylie | Podiatry | Centers for Foot and Ankle Care LLC | 425 Walnut St, Suite 200, Cincinnati, OH 45202-3949 |
| Jonathan Augustine | Podiatry | Centers for Foot and Ankle Care LLC | 5463 N Bend Rd, Cincinnati, OH 45247-7620 |
| Nicole Rahn | Podiatry | Centers for Foot and Ankle Care LLC | 5315 Delhi Ave, Cincinnati, OH 45238-5214 |
| Michael R Kiehl | Podiatry | Centers for Foot and Ankle Care LLC | 1260 Nilles Rd, A1, Fairfield, OH 45014-7221 |
| Richard Lowstuter | Podiatry | Centers for Foot and Ankle Care LLC | 4973 Glenway Ave, Cincinnati, OH 45238-3907 |
| Steve Mirkos | Podiatry | Centers for Foot and Ankle Care LLC | 292 Brooks Malott Rd, Mount Orab, OH 45154-9580 |
| Theresa Freeman Melody | Podiatry | Centers for Foot and Ankle Care LLC | 11560 Springfield Pike, Cincinnati, OH 45246-3527 |
| Dipika G Patel | Podiatry | Centers for Foot and Ankle Care LLC | 1113 Fehl Ln, Cincinnati, OH 45230-4349 |
| Aaron J Fritzhand | Podiatry | Centers for Foot and Ankle Care LLC | 10475 Reading Rd, Suite 304, Cincinnati, OH 45241-2500 |
| Chad Alan Miller | Podiatry | Centers for Foot and Ankle Care LLC | 1151 Stone Dr, Suite 10j, Harrison, OH 45030-1664 |
| Street Address |
10530 HARRISON AVE |
| City | HARRISON |
| State | OH |
| Zip | 45030-2141 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marianne Donohue | Obstetrics/gynecology | 177 Lyness Ave, Harrison, OH 45030-1572 | |
| Joseph J Perinovic | Chiropractic | 1151 Stone Dr, Suite 2b, Harrison, OH 45030-1664 | |
| Chad Alan Miller | Podiatry | Centers for Foot and Ankle Care LLC | 1151 Stone Dr, Suite 10j, Harrison, OH 45030-1664 |
| Trung Q Ky | Podiatry | Centers for Foot and Ankle Care LLC | 1151 Stone Dr, Suite 10j, Harrison, OH 45030-1664 |
| Alan Burwinkel | Dermatology | Forefront Dermatology Sc | 1149 Stone Dr, Suite 100, Harrison, OH 45030-1676 |
| Elizabeth Leroy | Obstetrics/gynecology | Trihealth G LLC | 1149 Stone Dr, Suite 100, Harrison, OH 45030-1676 |
| Beth L Dektas | Obstetrics/gynecology | Trihealth G LLC | 1149 Stone Dr, Suite 100, Harrison, OH 45030-1676 |
| Ashlee Campton | Nurse Practitioner | The Little Clinic of Ohio LLC | 10477 Harrison Ave, Harrison, OH 45030-1941 |
| Lorin Nichole Bowden | Nurse Practitioner | The Little Clinic of Ohio LLC | 10477 Harrison Ave, Harrison, OH 45030-1941 |
| Suzanne Kathleen Palmisano-austin | Nurse Practitioner | The Little Clinic of Ohio LLC | 10477 Harrison Ave, Harrison, OH 45030-1941 |
| Find all physicians in zip 45030 | |||
| City | HARRISON |
| Zip Code | 45030 |
| Specialty | PODIATRY |
| City + Specialty | HARRISON + PODIATRY |
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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.