MAXIM A EFREMOV (NPI# 1659334423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659334423 |
Entity Type | Individual |
Full Name | MAXIM A EFREMOV |
Credential | ACNP |
Practice Address |
Medical Center Blvd Wake Forest University Health Sciences Winston Salem NC 27157-0001 |
Practice Telephone | 3367162011 |
Mailing Telephone | 3367162011 |
Enumeration Date | 2006-04-11 |
Last Update Date | 2014-03-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
5006044 | NC | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
CNP01073 | NM | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R45111 | NM | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | BCBS OF NM | NPI & TIN | 01 |
NM | 99609754 | 05 |
Street Address |
MEDICAL CENTER BLVD WAKE FOREST UNIVERSITY HEALTH SCIENCES |
City | WINSTON SALEM |
State | NC |
Zip Code | 27157-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811990815 | Gary Lee Ray | Registered Nurse | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-05-23 |
1881295418 | Alan Townes Grizzard | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-11-02 |
1003421751 | Nicholas Ryan Tuttle | Nurse Anesthetist, Certified Registered | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-09-10 |
1356956122 | Caitlin Marie Clement | Nurse Anesthetist, Certified Registered | Medical Center Blvd, Winston Salem, NC 27103 | 2020-09-09 |
1376154591 | Lori Sansone Flores | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-08-11 |
1821609330 | Hannah Carey Walker | Physician Assistant | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-08-10 |
1447876883 | Raveena Mahesh Chhabria | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-06-22 |
1780205930 | Jason Chin | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-1087 | 2020-04-29 |
1972122885 | Bryanna Dean Vesely | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-04-10 |
1679102909 | Ameen Barghi | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston Salem, NC 27157-2803 | 2020-04-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255960241 | Alexandra Marie Balmaceda | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 | 2020-04-02 |
1164916680 | Jorie Elizabeth Gatts | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 | 2018-06-18 |
1932606555 | Alexi Rae Ellington Webb | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-04-10 |
1851896674 | Wasim Muhammad | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-03-25 |
1336643535 | Phillip Martin Kostelic | Student in an Organized Health Care Education/Training Program | Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 | 2018-03-21 |
1831693324 | Aleah Bond | Student in an Organized Health Care Education/Training Program | Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 | 2018-03-20 |
1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
1023467529 | Edward John Doyle IIi | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 | 2016-06-07 |
1477917888 | Jordan Mae Burner | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 | 2016-04-12 |
1174900476 | Kate Elise Winterbottom | Speech-Language Pathologist | 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 | 2015-05-06 |
Find all providers in zip 27157 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609259175 | Ryann Mcgough Rose | Nurse Practitioner | Wfbmc Pulmonary Critical Care Fl 2, Watlington Medical Center Blvd, Winston Salem, NC 27157-0001 | 2015-07-02 |
1134282775 | Dorothy Jane Kozar | Nurse Practitioner | 764 Inverness Dr, Winston Salem, NC 27107-6075 | 2006-12-18 |
1548744758 | Caitlin E'von Bumgarner | Nurse Practitioner | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2018-09-24 |
1033658257 | Cherie Avants | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2017-02-21 |
1043755614 | Brooke Embler | Nurse Practitioner | 3333 Silas Creek Pkwy, Winston Salem, NC 27103 | 2017-01-05 |
1235550054 | Belinda Kyeiwah Kyere | Nurse Practitioner | Wake Forest University Baptist Hospital, Pulmonary/critical Care 2nd Fl Watlington, Winston Salem, NC 27157-0001 | 2013-12-20 |
1871897769 | 'hemostasis Oasis' | Nurse Practitioner | 764 Inverness Dr, Winston Salem, NC 27107-6075 | 2011-01-06 |
1811971112 | Mihaela Dumitru Te Winkel | Nurse Practitioner | Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2005-12-01 |
1720069131 | Debra Ann Gray Thomson | Nurse Practitioner | Medical Center Blvd, 10 Brenner Tower, Winston Salem, NC 27157-0001 | 2005-11-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316544927 | Christine Marie Davis | Nurse Practitioner | 1010 Kenilworth Ave Apt 426, Charlotte, NC 28204-3475 | 2020-10-06 |
1447867700 | Ryan Richard Plesher | Nurse Practitioner | 10 Duke Medicine Cir Fl 8, Durham, NC 27710-1000 | 2020-09-29 |
1538774922 | Kathryn Rose Keurian | Nurse Practitioner | 10 Duke Medicine Cir # 3677, Durham, NC 27710-1000 | 2020-09-11 |
1669087243 | Linaleea Lopez | Nurse Practitioner | 108 Long Needle Dr, Clayton, NC 27520-8536 | 2020-09-10 |
1932713112 | Jessica H Resnyk | Nurse Practitioner | 2004 Cindy Ln, Clayton, NC 27520-9038 | 2020-09-03 |
1831702612 | Christopher Ireland | Nurse Practitioner | 4545 Long Cove Dr, Denver, NC 28037-5437 | 2020-08-31 |
1740893437 | Carlitha Saunders | Nurse Practitioner | 200 Medical Park Dr Ste 230, Concord, NC 28025-0933 | 2020-08-24 |
1508484031 | Stacey C Bohm | Nurse Practitioner | 15720 Brixham Hill Ave Ste 130, Charlotte, NC 28277-4784 | 2020-07-10 |
1750903969 | Lauren Brooke Kirby | Nurse Practitioner | 620 Moye Blvd, Greenville, NC 27834-0001 | 2020-05-11 |
1275154999 | Meghan Thompson Twisdale | Nurse Practitioner | 10 Duke Medicine Circle Duke Surgical Care Unit, Durham, NC 27710-0001 | 2020-05-05 |
Find all providers with the same taxonomy |
City | WINSTON SALEM |
Zip Code | 27157 |
Please comment or provide details below to improve the information on MAXIM A EFREMOV.
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.