IRINA KOSTOVA DIMITROVA (NPI# 1003847237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003847237 |
| Entity Type | Individual |
| Full Name | IRINA KOSTOVA DIMITROVA |
| Credential | M.D. |
| Practice Address |
6777 W Maple Rd West Bloomfield MI 48322-3013 |
| Practice Telephone | 2483251000 |
| Mailing Telephone | 2483251000 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 4301080622 | MI | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | MD60306703 | WA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 44128 | CO | Allopathic & Osteopathic Physicians |
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
4301080622 | MI | Allopathic & Osteopathic Physicians |
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
DR.0044128 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | ALASKA DSHS | MD00521 | 01 |
| WA | LABOR AND INDUSTRY | 0300248 | 01 |
| CO | 06728766 | 05 | |
| WA | 1003847237 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 80 Health Park Dr Ste 270, Louisville, CO 800274644 | 3036611860 | 3036611861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851747679 | Irina Dimitrova | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016-6402 | 2016-05-11 |
| Street Address |
6777 W MAPLE RD |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip Code | 48322-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497754816 | Lynne Camille Gafford | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2005-07-18 |
| 1740891639 | Teia Lee Irwin | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2020-08-13 |
| 1154947323 | Jaykumar Shah | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2020-06-23 |
| 1669098174 | Isaac Michael Peruski | Internal Medicine | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2020-06-20 |
| 1609490689 | Jessica Sassine Akl | Physician Assistant | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2020-06-04 |
| 1952922684 | Marie Giuseppa Diponio-hohl | Registered Nurse | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2020-05-05 |
| 1679194542 | Betsy Thomas | Registered Nurse | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2020-05-02 |
| 1952922841 | Hiba Nabil Issa | Pharmacist | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2020-05-01 |
| 1427692607 | Jenna E Buchman | Nurse Practitioner | 6777 W Maple Rd, West Bloomfield, MI 48322-3013 | 2019-10-31 |
| 1558911412 | Anne Renee Adelson | Physician Assistant | 6777 W Maple Rd, West Bloomfield, MI 48322-3031 | 2019-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483492 | Life Saver Home Health, LLC | Home Health | 6436 Silverbrooke, West Bloomfield, MI 48322 | 2020-10-06 |
| 1316557374 | Gabrielle Benaderet | Speech-Language Pathologist | 6548 Heritage, West Bloomfield, MI 48322 | 2020-08-05 |
| 1437774197 | Madeline Gail Tenenbaum | Social Worker | 6800 W. Maple Rd., West Bloomfield, MI 48322 | 2020-06-09 |
| 1639705676 | Stephanie Cole | Social Worker | 5749 Crossgate, West Bloomfield, MI 48322 | 2020-03-22 |
| 1407409709 | Laura Elizabeth Large | Social Worker | Couseling Associates, Inc., 6960 Orchard Lake Rd. Ste. 100, W. Bloomfield, MI 48322 | 2019-07-17 |
| 1144796533 | Jaleesa Davis | Home Health Aide | 6436 Silverbrook W, West Bloomfield, MI 48322 | 2018-10-23 |
| 1912484411 | Mjl Therapy Pllc | Clinic/Center | 5745 West Maple Road Suite 213, West Bloomfield, MI 48322 | 2018-07-26 |
| 1396247847 | Martha Gomez-pedraza | Physical Therapist | 6200 Orchard Lake Rd - Suite Ll9, West Bloomfield, MI 48322 | 2018-03-01 |
| 1659872174 | Jennifer Marie O'connor | Physical Therapist | Beaumont Medical Center West Bloomfield, 6900 Orchard Lake Rd., Suite Ll09, West Bloomfield, MI 48322 | 2018-02-21 |
| 1851890834 | Naomi Marie Lang | Physical Therapy Assistant | 6535 Drake Rd. West, Bloomfield Township, MI 48322 | 2018-02-06 |
| Find all providers in zip 48322 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528342292 | Michael Jerome Bonczak IIi | Obstetrics & Gynecology | 3064 Parkland Dr, West Bloomfield, MI 48322-1822 | 2011-09-29 |
| 1194950501 | Michael Charles Kent | Obstetrics & Gynecology | 2485 Doleman Dr, West Bloomfield, MI 48324-1405 | 2009-05-29 |
| 1497787576 | Shelley Sue Binkley | Obstetrics & Gynecology | 4936 Fairway Ridge Cir, Suite 200, West Bloomfield, MI 48323-3320 | 2006-07-07 |
| 1457337529 | Nancy A. Salem | Obstetrics & Gynecology | 6079 W Maple Rd, Suite 110, West Bloomfield, MI 48322-2283 | 2005-12-20 |
| 1588645519 | Lori L Shoha | Obstetrics & Gynecology | 5793 W Maple Rd Ste 147, West Bloomfield, MI 48322-4478 | 2005-11-08 |
| 1518952894 | Neil A Brickman | Obstetrics & Gynecology | 6900 Orchard Lake Rd, Ste 306, West Bloomfield, MI 48322-3405 | 2005-09-13 |
| 1235674714 | Jeffrey G Obron Pllc | Obstetrics & Gynecology | 6079 W Maple Rd, Suite 110, West Bloomfield, MI 48322-2283 | 2016-12-20 |
| 1538434220 | Mark Werner, M.d., P.C. | Obstetrics & Gynecology | 6900 Orchard Lake Rd, Suite 205, West Bloomfield, MI 48322-3405 | 2012-03-14 |
| 1134357288 | Rachel Mary O'keefe | Obstetrics & Gynecology | 2300 Haggerty Rd, Suite 2070, West Bloomfield, MI 48323-2184 | 2009-06-29 |
| 1770783870 | Amy Marcotte | Obstetrics & Gynecology | 5777 W Maple Rd Ste 200, West Bloomfield, MI 48322-2271 | 2007-07-18 |
| Find all providers in WEST BLOOMFIELD | ||||
| City | WEST BLOOMFIELD |
| Zip Code | 48322 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.