Bryan Keith Miksanek, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35.061812 Issued in OH

Practice address

950 W Wooster St
Bowling Green, OH 43402-2603

Phone

(419) 354-9810

NPI assigned

Feb 8, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Southern Illinois University School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverwood Emergency Services IncGroup PAC ID 1153225669, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Health - Defiance Hospital Hospital, Defiance, OH, CCN 360270
• Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Riverwood Emergency Services Inc.

  • Emergency Medicine Physician
  • Perrysburg, OH
  • NPI 1104888536
  Medicare reassignment Care Compare group NPD
• Lucas County Emergency Physicians Inc

  • Emergency Medicine Physician
  • Toledo, OH
  • NPI 1811998560
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Health - Defiance Hospital LLC

  • General Acute Care Hospital
  • Defiance, OH
  • NPI 1629011234
  Care Compare affiliation
• Mercy Health - St Vincent Medical Center LLC

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1467493551
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1104899533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 TIFFANY VILLAGE BLVD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609465",
            "telephone_number": "419-829-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W WOOSTER ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022603",
            "telephone_number": "419-354-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKSANEK",
        "first_name": "BRYAN",
        "middle_name": "KEITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.061812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0900752",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Meyer, PMHNP-NP
• Sara Beth Micham
• Mid American Sports Therapy and Rehabilitation LLC
• Mid-County Ambulance District
• Mighty Oak Christian Counseling LLC
• Austin Miles
• Amber Michele Miller
• Brayden Michael Miller
• Courtney Kendall Miller
• Jacqueline Miller, LPN

• Emergency Medicine Physician in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.