Brian Joseph Minnillo (NPI# 1104142389, PAC ID# 9335432897) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1104142389 |
| PAC ID by PECOS | 9335432897 |
| Professional Enrollment ID | I20180521002753 |
| Full Name | Brian Joseph Minnillo |
| Organization Legal Name | TRI STATE UROLOGIC SERVICES PSC INC |
| Address |
4420 Aicholtz Rd Suite 120 Cincinnati OH 45245-1762 |
| Phone Number | 5137326200 |
| Gender | M |
| Medical School | NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 6204740889 |
| Number of Group Practice Members | 47 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360001 | MERCY HOSPITAL ANDERSON |
| 360236 | MERCY HOSPITAL CLERMONT |
| 360179 | BETHESDA NORTH |
| 360134 | GOOD SAMARITAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4420 Aicholtz Rd, Suite 120, Cincinnati, OH 45245-1762 | 5137326200 | TRI STATE UROLOGIC SERVICES PSC INC |
| Organization Legal Name | TRI STATE UROLOGIC SERVICES PSC INC |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Frederick Kappa | Urology | Tri State Urologic Services Psc Inc | 7921 Jessies Way, Fairfield, OH 45011-8077 |
| Barbara B Hankin | Nurse Practitioner | Tri State Urologic Services Psc Inc | 10220 Alliance Rd, Blue Ash, OH 45242-4710 |
| David C Miller | Urology | Tri State Urologic Services Psc Inc | 1064 Summitt Dr, Middletown, OH 45042-3400 |
| Benjamin E Niver | Urology | Tri State Urologic Services Psc Inc | 2000 Joseph E Sanker Blvd, Cincinnati, OH 45212-1979 |
| Martin Walsh | Urology | Tri State Urologic Services Psc Inc | 2000 Joseph E Sanker Blvd, Cincinnati, OH 45212-1979 |
| Jeffrey Zipkin | Urology | Tri State Urologic Services Psc Inc | 2000 Joseph E Sanker Blvd, Cincinnati, OH 45212-1979 |
| Philip Buffington | Urology | Tri State Urologic Services Psc Inc | 2000 Joseph E Sanker Blvd, Cincinnati, OH 45212-1979 |
| William Monnig | Urology | Tri State Urologic Services Psc Inc | 2000 Joseph E Sanker Blvd, Cincinnati, OH 45212-1979 |
| Marc Pliskin | Urology | Tri State Urologic Services Psc Inc | 3301 Mercy Health Blvd, Suite 525, Cincinnati, OH 45211-1118 |
| Matthew R Fulton | Urology | Tri State Urologic Services Psc Inc | 3301 Mercy Health Blvd, Suite 525, Cincinnati, OH 45211-1118 |
| Street Address |
4420 AICHOLTZ RD SUITE 120 |
| City | CINCINNATI |
| State | OH |
| Zip | 45245-1762 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hari Kothegal | Urology | Tri State Urologic Services Psc Inc | 4420 Aicholtz Rd, Suite 120, Cincinnati, OH 45245-1762 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Joseph Haumesser | Chiropractic | 684 Cincinnati Batavia Pike, Cincinnati, OH 45245-1027 | |
| James G Myers | Optometry | 4595 Eastgate Blvd, Cincinnati, OH 45245-1201 | |
| Brian Vanderploeg | Ophthalmology | 4601 Eastgate Blvd, Cincinnati, OH 45245-1218 | |
| Miral Patel | Nurse Practitioner | Cg Medical Associates Inc | 4530 Eastgate Blvd, B 616, Cincinnati, OH 45245-1266 |
| Thomas E Meyers | Internal Medicine | The Christ Hospital Medical Associates, LLC | 796 Old State Route 74, Suite 100, Cincinnati, OH 45245-1269 |
| Kanhya Ton | Nurse Practitioner | The Christ Hospital Medical Associates, LLC | 796 Old State Route 74, Suite 100, Cincinnati, OH 45245-1269 |
| Ashraf Salah Nassef | Neurology | 4404 Gleneste Withamsville Rd, Cincinnati, OH 45245-1306 | |
| Joseph O Ugorji | Diagnostic Radiology | 4440 Glen Este-withamsville Rd, Cincinnati, OH 45245-1318 | |
| Jeffrey Brian Bloomer | Pulmonary Disease | Mercy Health Physicians Cincinnati LLC | 4440 Glen Este Withamsville Rd, Cincinnati, OH 45245-1318 |
| Nicholas Early | Orthopedic Surgery | Mercy Health Physicians Cincinnati LLC | 4440 Glen Este Withamsville Rd, Cincinnati, OH 45245-1318 |
| Find all physicians in zip 45245 | |||
| City | CINCINNATI |
| Zip Code | 45245 |
| Specialty | UROLOGY |
| City + Specialty | CINCINNATI + UROLOGY |
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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.