DR. MIKHAIL I. KHAIMOV (NPI# 1043577943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043577943 |
| Entity Type | Individual |
| Full Name | DR. MIKHAIL I. KHAIMOV |
| Credential | D.O. |
| Practice Address |
155 Crystal Run Rd Middletown NY 10941 |
| Mailing Address |
155 Crystal Run Rd Middletown NY 10941-4057 |
| Practice Telephone | 8457036999 |
| Practice Fax Number | 8457036297 |
| Mailing Telephone | 8457036999 |
| Mailing Fax Number | 8457036297 |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2018-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 272593 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457408205 | Mikhail Khaimov | Social Worker | 10470 Queens Blvd, Suite 200, Forest Hills, NY 11375-3694 | 2007-01-04 |
| Street Address |
155 CRYSTAL RUN RD |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851398697 | Renita Danette Butler | Internal Medicine | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2005-07-07 |
| 1851908743 | Lex Randal Harvey | Nurse Practitioner | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2020-09-25 |
| 1205445384 | Jillian Amanda Sandler | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2020-07-24 |
| 1407474604 | Ashley M Lapolla | Nurse Practitioner | 155 Crystal Run Rd, Middletown, NY 10941-4057 | 2020-07-14 |
| 1598389314 | Carly M. Jobson | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2020-06-08 |
| 1841834959 | Ariel D. Chasipanta | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2019-10-31 |
| 1598317489 | Shyna L Foster | Nurse Practitioner | 155 Crystal Run Rd, Middletown, NY 10941-4057 | 2019-07-11 |
| 1376102657 | Kiana Jeffers | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2019-06-10 |
| 1376107615 | Alyssa Stein | Physician Assistant | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2019-04-23 |
| 1700345733 | Mihaela Souliopoulos | Nurse Practitioner | 155 Crystal Run Rd, Middletown, NY 10941-4028 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471428 | Jackeline Montoya | Case Manager/Care Coordinator | 13 Kensington Manor, Middletown, NY 10941 | 2020-06-15 |
| 1124502398 | Kimberly Dominique Mccormick | Licensed Practical Nurse | 29, Macintosh Drive, Middletown, NY 10941 | 2018-09-24 |
| 1750891081 | Heather Skinner | Case Manager/Care Coordinator | 75 Crystal Run Rd Suite 201, Middletown, NY 10941 | 2017-09-29 |
| 1295281012 | Christa Lloyd | Counselor | 15 Fortune Rd, West Middletown, NY 10941 | 2016-08-31 |
| 1023471109 | Lauren Battaglia | Occupational Therapy Assistant | 192 Tower Drive Suite 400, Middletown, NY 10941 | 2016-04-05 |
| 1992188718 | Brynn Sierra | Occupational Therapist | 21 Riverside Drive, Middletown, NY 10941 | 2015-06-30 |
| 1356788574 | Keren Denis Joseph | Custodial Care Facility | 16 Disco Dr, Middletown, NY 10941 | 2013-05-29 |
| 1902169204 | Susan A. Reilly | Specialist | 2277 Gosen Turnpike, Middletown, NY 10941 | 2012-06-21 |
| 1518229392 | Dena Sapp | Case Manager/Care Coordinator | 75 Crystal Run Rd. Suite 201, Middletown, NY 10941 | 2012-06-08 |
| 1770800542 | Orange County Medical Transportation Inc. | Taxi | 80 Wisner Avenue, Middletown, NY 10941 | 2010-05-03 |
| Find all providers in zip 10941 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023473782 | Dassa Orthopedic Medical Services, PC | Orthopaedic Surgery | 253 Route 211 E, 2nd Floor, Middletown, NY 10940 | 2015-12-23 |
| 1134526601 | Middletown Medical PC | Orthopaedic Surgery | 35 Maltese Dr, Middletown, NY 10940-2109 | 2014-12-01 |
| 1902136823 | Max Robert Berdichevsky | Orthopaedic Surgery | 200 Medical Center Dr Ste 375, Middletown, OH 45005-5180 | 2009-12-29 |
| 1265589774 | Robert Walter O'connor | Orthopaedic Surgery | 512 Saybrook Rd Ste 100, Middletown, CT 06457-4788 | 2007-01-05 |
| 1205844503 | Govindlal K Bhanusali | Orthopaedic Surgery | 15 Dunning Road, Suite 2, Middletown, NY 10940-2212 | 2006-08-03 |
| 1750912622 | Jamie Lynn Beaulieu | Orthopaedic Surgery | 512 Saybrook Rd, Middletown, CT 06457-4788 | 2020-01-30 |
| 1386084010 | Andrew William Pao | Orthopaedic Surgery | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2013-06-26 |
| 1528402963 | Amy Sarah Wasterlain | Orthopaedic Surgery | 410 Saybrook Rd Ste 100, Middletown, CT 06457-4780 | 2013-04-27 |
| 1902148281 | Michael Ryan Rutter | Orthopaedic Surgery | 707 E Main St, Middletown, NY 10940-2650 | 2013-03-25 |
| 1265710966 | Richard L Davis II | Orthopaedic Surgery | 275 N Breiel Blvd, Middletown, OH 45042-3807 | 2011-07-28 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10941 |
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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.