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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A52699 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3650 SOUTH ST STE 403 |
| City | LAKEWOOD |
| State | CA |
| Zip Code | 90712-1504 |
| 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 |
| 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 |
| Find all providers in zip 90712 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.