MAXIM A EFREMOV


Address: Medical Center Blvd, Wake Forest University Health Sciences, Winston Salem, NC 27157-0001
Phone: 3367162011

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NM BCBS OF NM NPI & TIN 01
NM 99609754 05

Office Location

Street Address MEDICAL CENTER BLVD
WAKE FOREST UNIVERSITY HEALTH SCIENCES
City WINSTON SALEM
State NC
Zip Code 27157-0001

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City WINSTON SALEM
Zip Code 27157

Improve Information

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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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