Brenda J Sickle Santanello MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

35050732 Issued in OH

Legal business name

BRENDA J SICKLE SANTANELLO MD INC

Practice address

8100 Ravines Edge CT
Suite 100
Columbus, OH 43235

Phone

(614) 505-7510

Fax

(614) 505-7512

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Tamara M Burk

Title

Practice Administrator

Phone

(614) 505-7508

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1962564401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 RAVINES EDGE CT",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43235",
            "telephone_number": "614-505-7510",
            "fax_number": "614-505-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 RAVINES EDGE CT",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43235",
            "telephone_number": "614-505-7510",
            "fax_number": "614-505-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA J SICKLE SANTANELLO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "BURK",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "614-505-7508"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35050732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2251405",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Brelage, PHARMD
• Jennifer Myers Brello, CCC-SLP
• Amy Elizabeth Bremer, PHD
• Don L Bremer, MD
• Katherine Bremer, LISW
• Amanda Brendell
• Michael Brendle, DNP, CRNA
• Glenda Ann Brendus
• Carolyn M Brennan, C.N.P.
• J Kelley Brennan, MD

• Specialist in Columbus, OH
• Providers in Columbus, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.