NICK AZAROV (NPI# 1093937948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093937948 |
| Entity Type | Individual |
| Full Name | NICK AZAROV |
| Other Name | NIKOLAY AZAROV |
| Credential | MD |
| Practice Address |
400 Rosalind Redfern Grover Pkwy Midland TX 79701-5846 |
| Mailing Address |
4214 Andrews Hwy Ste 240 Midland TX 79703-4817 |
| Practice Telephone | 4322211111 |
| Mailing Telephone | 4326866605 |
| Mailing Fax Number | 4326822284 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | M7838 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
M7838 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 194906704 | 05 | |
| TX | TX MEDICARE | 8L6420 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 W 4th St, Odessa, TX 797615001 | 4326402401 | 4326404606 |
| Street Address |
400 ROSALIND REDFERN GROVER PKWY |
| City | MIDLAND |
| State | TX |
| Zip Code | 79701-5846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326047952 | Laurence W Cunningham | Internal Medicine | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2005-07-15 |
| 1861001935 | Rachel Campbell Black | Pharmacist | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-6499 | 2020-07-24 |
| 1093331340 | Jana Lynne Peikert | Nurse Practitioner | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2020-06-23 |
| 1710500160 | K. Nicole Whitley Fnp-c, Pllc | Nurse Practitioner | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2020-05-20 |
| 1861027286 | Permian Basin Anesthesia P.l.l.c. | Anesthesiology | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2020-03-05 |
| 1518599869 | Aruna Maharjan | Nurse Anesthetist, Certified Registered | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2020-02-05 |
| 1225669476 | Kristian Nicole Whitley | Nurse Practitioner | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2020-01-27 |
| 1598305344 | Salem Physicians | Hospitalist | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2020-01-09 |
| 1437790284 | Ana Maria Rodriguez | Nurse Practitioner | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2019-10-02 |
| 1912485590 | Bridget Leann Winn | Nurse Practitioner | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701 | 2018-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839622 | Ryan Alexander Buda | Dentist | 2212 S Rankin Hwy Suite E Midland, Texas 79701, Midland, TX 79701 | 2020-07-30 |
| 1003441460 | Kendra Denise Alexander | Nurse Practitioner | 911 West Texas Ave, Midland, TX 79701 | 2020-03-06 |
| 1528531134 | Bliss Rankin Dentistry Pllc | Dentist | 2212 S. Rankin Hwy, Suite E, Midland, TX 79701 | 2019-01-07 |
| 1891209540 | Sleep Interventions, LLC | Durable Medical Equipment & Medical Supplies | 2300 W Michigan Ave Ste 2, Midland, TX 79701 | 2017-11-16 |
| 1457899940 | Bonolo Blessed Odirile | Dentist | 2101 Midland Drive, #14, Midland, TX 79701 | 2017-02-06 |
| 1700235603 | Lisa Lozano Dba Credence Counseling | Counselor | 2114 W. Michigan, Midland, TX 79701 | 2016-06-10 |
| 1578809406 | Todd Aaron Stack | Physician Assistant | 1703 Country Club Drive, Midlad, TX 79701 | 2012-12-20 |
| 1134475080 | Kathryn G Blonkvist | Physical Therapist | 301 Dodson St., Midland, TX 79701 | 2012-07-30 |
| 1487953303 | Patricia A Homer | Counselor | 3416 W Wall St Ste 106, Midland, TX 79701 | 2011-03-17 |
| 1548586415 | Thomas Caputo | Dentist | 1411 W. Wall St., Midland, TX 79701 | 2010-04-15 |
| Find all providers in zip 79701 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376541441 | Wilfred Lewis Vander Roest | Internal Medicine | 4201 Campus Ridge Drive, Midland, MI 48640 | 2005-07-12 |
| 1760501720 | Gerardo Mendoza Catalasan | Internal Medicine | 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701-5846 | 2007-03-28 |
| 1023126448 | Subramanyam Yadam | Internal Medicine | 4201 Campus Ridge Drive, Midland, MI 48640 | 2006-08-26 |
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| 1225411309 | Ms Medical Consultants, Pllc | Internal Medicine | 2100 W 18th St, Weslaco, TX 78596-4983 | 2015-07-07 |
| 1871976084 | Ammar Halloum Sallora, Md, Pllc | Internal Medicine | 2706 Pinehurst Dr, Harlingen, TX 78550-8697 | 2015-07-07 |
| 1174924450 | David Maldonado IIi Md Pa | Internal Medicine | 6551 Harris Pkwy Ste 250, Fort Worth, TX 76132-6115 | 2014-09-05 |
| 1679993562 | Jess Anderson | Internal Medicine | 3551 Roger Brooke Dr Apt 3, San Antonio, TX 78234-4505 | 2014-04-18 |
| 1609208768 | Infectious Disease & Pulmonary Consultants, Pllc | Internal Medicine | 2710 Hospital Dr Ste 310, Victoria, TX 77901-5743 | 2013-07-31 |
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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.