DR. MAXIM V MIROVSKI (NPI# 1689797847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689797847 |
| Entity Type | Individual |
| Full Name | DR. MAXIM V MIROVSKI |
| Credential | MD |
| Practice Address |
400 Gresham Dr 907 Medical Tower Norfolk VA 23507-1901 |
| Mailing Address |
6160 Kempsville Circle Suite 302a Norfolk VA 23502 |
| Practice Telephone | 7576277301 |
| Practice Fax Number | 7576276238 |
| Mailing Telephone | 7574669288 |
| Mailing Fax Number | 7574668954 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
0101840366 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1689797847 | 05 | |
| VA | RAILROAD MEDICARE | P00414462 | 01 |
| Street Address |
400 GRESHAM DR 907 MEDICAL TOWER |
| City | NORFOLK |
| State | VA |
| Zip Code | 23507-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548269483 | Alex Olabode Williams | Internal Medicine | 400 Gresham Dr, Suite 303, Norfolk, VA 23507-1901 | 2005-07-20 |
| 1609311760 | Vrx1 LLC | Pharmacy | 400 Gresham Dr, Suite 104, Norfolk, VA 23507-1901 | 2016-12-28 |
| 1891143855 | Lisa J Ulmer | Psychologist | 400 Gresham Dr, Suite 900, Norfolk, VA 23507-1901 | 2016-06-01 |
| 1245690403 | Healthstat Onsite Clinic Chkd | Preventive Medicine | 400 Gresham Dr, Suite 406 Medical Tower, Norfolk, VA 23507-1901 | 2016-03-02 |
| 1740618412 | Bon Secours Depaul Medical Center | Internal Medicine | 400 Gresham Dr, Suite 808, Norfolk, VA 23507-1901 | 2013-10-16 |
| 1306157847 | Trisha Marie Stueber | Physician Assistant | 400 Gresham Dr, Norfolk, VA 23507-1901 | 2010-06-30 |
| 1346551736 | Ghent Internal Medicine PC | Internal Medicine | 400 Gresham Dr, Ste. 205, Norfolk, VA 23507-1901 | 2010-06-30 |
| 1568787638 | Meaghan G Dehart | Registered Nurse | 400 Gresham Dr, Suite 303, Norfolk, VA 23507-1901 | 2010-04-01 |
| 1699936112 | Sharon Murphy Finefrock | Advanced Practice Midwife | 400 Gresham Dr, Suite 811, Norfolk, VA 23507-1901 | 2008-06-18 |
| 1144480757 | Rachel E Rotenberry | Nurse Practitioner | 400 Gresham Dr, Suite 811, Norfolk, VA 23507-1901 | 2008-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
| 1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
| 1962030643 | Shekinah Joy Vaughn | Student in an Organized Health Care Education/Training Program | 385 Mowbray Arch Ste 203205, Norfolk, VA 23507 | 2020-03-30 |
| 1982231403 | Jaxon Vallely | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-03-25 |
| 1437714656 | Kanishk Deep Sharma | Student in an Organized Health Care Education/Training Program | 825 Fairfax Avenue Eastern Virginia Medical School Inte, Suite 445, Norfolk, VA 23507 | 2019-05-02 |
| 1619439460 | Dylan Woolum | Student in an Organized Health Care Education/Training Program | Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 | 2019-04-02 |
| 1477012623 | Jessie R Jones | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Ste 513a, Norfolk, VA 23507 | 2019-03-18 |
| 1316416787 | Lindsey Sawyer | Genetic Counselor, MS | Childrens Hospital of The Kings Daughters, 601 Childrens Lane, Norfolk, VA 23507 | 2018-11-15 |
| 1881188159 | Patrick Michael Haar | Pharmacist | 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 | 2018-06-19 |
| 1316438377 | Monika Pajhal | Student in an Organized Health Care Education/Training Program | Eastern Virginia Medical School (internal Medicine), Internal Medicine, 825 Fairfax Ave, Suite 410, Norfolk, VA 23507 | 2018-05-25 |
| Find all providers in zip 23507 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1881881258 | Siddharth Bhatt | Internal Medicine | 31 Pine St Ste 204, Norfolk, MA 02056-1680 | 2007-10-01 |
| 1497823728 | Internal Medicine Kidney & Hypertension Center PC | Internal Medicine | 5700 Lake Wright Dr Ste 101, Norfolk, VA 23502-1859 | 2006-12-04 |
| 1992796767 | Yury Kalmanovich | Internal Medicine | 301 Riverview Ave Ste 512, Norfolk, VA 23510-1066 | 2005-11-02 |
| 1619966512 | Suresh K Rijhwani | Internal Medicine | 907 Medical Tower, 400 Gresham Drive, Norfolk, VA 23507-1970 | 2005-10-14 |
| 1235128133 | Michael Nmn Grassia | Internal Medicine | 6160 Kempsville Circle, Suite 302a, Norfolk, VA 23502-3933 | 2005-10-14 |
| 1396742037 | Abdul W Chaudhry | Internal Medicine | 814 Kempsville Rd, Suite 102 Bldg 17, Norfolk, VA 23502-4001 | 2005-07-07 |
| 1407321037 | Cnv Mw | Internal Medicine | 31 Pine St Ste 204, Norfolk, MA 02056-1680 | 2018-10-10 |
| 1902265879 | Cnv Shc LLC | Internal Medicine | 31 Pine St Ste 204, Norfolk, MA 02056-1680 | 2016-02-19 |
| 1093119240 | Cnv Bidco LLC | Internal Medicine | 31 Pine St, Suite 204, Norfolk, MA 02056-1642 | 2014-10-17 |
| 1477898369 | Tidewater Vascular Access Center LLC | Internal Medicine | 814 Kempsville Rd, Suite 101, Norfolk, VA 23502-4001 | 2012-12-03 |
| Find all providers in NORFOLK | ||||
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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.