Active NPI
Brandon Michael Mikolich, M.D.
- Cardiovascular Disease Physician
- Hermitage, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MT180665
- Practice address
- 2999 Presidential Blvd
Hermitage, PA 16148-3689 - Phone
- (724) 983-1800
- Fax
- (724) 983-8252
- NPI assigned
- Apr 29, 2008
- Last updated
- Sep 24, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MT180665 | PA | Primary |
Addresses
Primary practice location
2999 Presidential Blvd
Hermitage, PA 16148-3689
Mailing address
2999 Presidential Blvd
Hermitage, PA 16148-3689
Phone (724) 983-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1034 Grove St
Meadville, PA 16335-2945
2999 Innovation Way
Hermitage, PA 16148-7903
Phone (724) 983-1800
751 Liberty St
Meadville, PA 16335-2559
Phone (814) 333-5155
765 Liberty St
Suite 105
Meadville, PA 16335-2567
Phone (814) 373-2310
880 W Liberty St
Hubbard, OH 44425-1753
Phone (330) 269-1916
Hospital & facility affiliations
- Meadville Medical Center
- Edgewood Surgical Hospital
- Sharon Regional Medical Center
- Upmc Horizon
- Titusville Area Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT180665 | PA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Titusville Area Hospital | Current | Accepting new patients | |
| Meadville Medical Center | Cardiovascular Disease | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Titusville Area Hospital | Cardiovascular Disease | Current | Accepting new patients |
| Titusville Area Hospital | Current | Accepting new patients | |
| Meadville Physician Services | Cardiovascular Disease | Current | Accepting new patients |
| Meadville Medical Center | Current | Accepting new patients | |
| Steward Medical Group Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Meadville Medical Center | Past | Accepting new patients | |
| Primary Care Services | Past | Accepting new patients |
Locations
55 Hall Ave
Hubbard, OH 44425
Phone (330) 534-1978
880 W Liberty St
Hubbard, OH 44425
Phone (330) 269-1916
880 W Liberty St
Ste A
Hubbard, OH 44425
Phone (330) 534-5400
1350 E Market St
Warren, OH 44483
Phone (330) 841-5969
1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728
751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081
765 Liberty St
Ste 105
Meadville, PA 16335
Phone (814) 373-2310
2999 Innovation Way
Sharon, PA 16148
Phone (724) 983-1800
740 E State St
Sharon, PA 16146
Phone (724) 983-1980
406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851
951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Meadville, PA
- NPI 1356495477
-
- Multi-Specialty Clinic/Center
- Meadville, PA
- NPI 1619236056
Cardiovascular Disease, OH
-
- Cardiovascular Disease Physician
- Titusville, PA
- NPI 1598869141
-
- Internal Medicine Physician
- Brookfield, OH
- NPI 1902347438
Cardiovascular Disease, PA
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Meadville, PA
- NPI 1639067804
-
- Audiologist
- Titusville, PA
- NPI 1306712104
-
- Family Medicine Physician
- Mercer, PA
- NPI 1609684083
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- General Acute Care Hospital
- Meadville, PA
- NPI 1942276423
-
- Internal Medicine Physician
- Meadville, PA
- NPI 1962804955
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Meadville, PA
- NPI 1942276423
-
dba Edgewood Surgical Hospital
- General Acute Care Hospital
- Transfer, PA
- NPI 1659392595
-
dba Lawrence County Surgery Center of Edgewood Surgical Hospital
- Ambulatory Surgical Clinic/Center
- New Castle, PA
- NPI 1780919043
Hospital
-
- General Acute Care Hospital
- Sharon, PA
- NPI 1235940909
-
dba Sharon Regional Medical Center
- Psychiatric Hospital Unit
- Sharon, PA
- NPI 1659182269
-
- Critical Access Hospital
- Titusville, PA
- NPI 1891899332
-
- General Acute Care Hospital
- Greenville, PA
- NPI 1225048838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253750400000",
"number": "1215102421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2999 PRESIDENTIAL BLVD",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161483689",
"telephone_number": "724-983-1800",
"fax_number": "724-983-8252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2999 PRESIDENTIAL BLVD",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161483689",
"telephone_number": "724-983-1800",
"fax_number": "724-983-8252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKOLICH",
"first_name": "BRANDON",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-29",
"last_updated": "2009-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MT180665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.