MIRIAM MACKOVIC-BASIC


Address: 3650 South St Ste 403, Lakewood, CA 90712-1504
Phone: 5626348812

MIRIAM MACKOVIC-BASIC (NPI# 1548286016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548286016
Entity Type Individual
Full Name MIRIAM MACKOVIC-BASIC
Practice Address 3650 South St Ste 403
Lakewood
CA 90712-1504
Practice Telephone 5626348812
Practice Fax Number 5626346033
Enumeration Date 2006-07-15
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology A52699 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 3650 SOUTH ST STE 403
City LAKEWOOD
State CA
Zip Code 90712-1504

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215362090 Comprehensive Women's Anesthesia and Pain Management Group, Inc. Anesthesiology 3650 South St Ste 403, Lakewood, CA 90712-1504 2013-09-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689289944 Createwellness LLC Social Worker 5250 Hayter Avenue, Lakewood, CA 90712 2020-09-14
1801451398 Marilou Toquero Dental Corp Durable Medical Equipment & Medical Supplies 3203 Carson St Suite 2, Lakewood, CA 90712 2019-05-09
1225510126 N Ozder Dental Practice Inc Clinic/Center 5037 Lakewood Blvd, Lakewood, CA 90712 2018-09-06
1003394446 Robert Michael Schlesinger Counselor 5150 Candlewood St Ste 13a, Lakewood, CA 90712 2018-07-28
1316439847 P.r.i.s.m. Institute Inc. Chiropractor 5233 Premiere Ave, Lakewood, CA 90712 2018-05-31
1316477938 Broadleaf Healthcare Orthotist 4345 Levelside Ave, Lakewood, CA 90712 2017-06-15
1679008049 Adrienne Yoshiko Doi Podiatrist 3700 East South Street, Lakewood, CA 90712 2017-04-24
1841747334 Garrison R Weaver-gourdeau Chiropractor 4115 E. South St, Lakewood, CA 90712 2016-09-01
1073967394 Mirna S Rizkalla Family Medicine 3650 South St Ste 404, Lakewood, CA 90712 2016-04-22
1841657251 Roxanna Jimenez Rehabilitation Practitioner 5818 Clark Ave, Lakewood, CA 90712 2016-01-15
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376937839 Jonathan Seibert Obstetrics & Gynecology 1450 Belle Ave Unit 300, Lakewood, OH 44107-4211 2015-03-23
1982001434 Lakewood Obstetrics & Gynecology Pa Obstetrics & Gynecology 1382 Lanes Mill Rd Ste 201, Lakewood, NJ 08701 2014-11-28
1689975690 Migdalia Zoe Bonilla Martir Obstetrics & Gynecology 101 Secon Street, Lakewood, NJ 08701-3324 2010-11-08
1871635227 Douglas Haigh Kirkpatrick Obstetrics & Gynecology 255 Union Blvd Suite 200, Lakewood, CO 80228-1810 2007-02-13
1790831311 Kelle Oberle Obstetrics & Gynecology 255 Union Blvd Ste 200, Lakewood, CO 80228-1833 2007-01-26
1871667097 Flavius Thompson Obstetrics & Gynecology 149 Bristol Ct, Lakewood, NJ 08701-4635 2006-11-20
1619902046 Adam N Repole Obstetrics & Gynecology 475 Route # 70, Suite 101, Lakewood, NJ 08701 2006-07-12
1871538520 Vaishali C. Moghe Obstetrics & Gynecology 101 Second Street, Lakewood, NJ 08701-3324 2006-06-17
1417991399 Jacob F. Palomaki Obstetrics & Gynecology 13956 Estill Drive, Lakewood, OH 44107-1455 2006-06-15
1396787875 Eric G Lehnes Obstetrics & Gynecology 475 Route 70 Suite 101, Ocean Gyn & Ob Associates, Lakewood, NJ 08701 2006-06-11
Find all providers in LAKEWOOD

Competitor

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City LAKEWOOD
Zip Code 90712

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Dataset Information

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.

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