Ezra D Mirvish (NPI# 1255697272, PAC ID# 1850684903) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1255697272 |
| PAC ID by PECOS | 1850684903 |
| Professional Enrollment ID | I20160727000165 |
| Full Name | Ezra D Mirvish |
| Organization Legal Name | FOREFRONT DERMATOLOGY SC |
| Address |
339 Old Haymaker Rd Suite 201 Monroeville PA 15146-1685 |
| Phone Number | 4123722770 |
| Gender | M |
| Medical School | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3779471701 |
| Number of Group Practice Members | 289 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1000 Infinity Dr, Suite 200, Monroeville, PA 15146-2063 | 7245192024 | FOREFRONT DERMATOLOGY SC |
| 2790 Mosside Blvd, Suite 720, Monroeville, PA 15146-2757 | 4123722770 | FOREFRONT DERMATOLOGY SC |
| 339 Old Haymaker Rd, Suite 201, Monroeville, PA 15146-1685 | 4123722770 | FOREFRONT DERMATOLOGY SC |
| 180 Fort Couch Rd, Suite 200, Pittsburgh, PA 15241-1046 | 4125950430 | FOREFRONT DERMATOLOGY SC |
| Organization Legal Name | FOREFRONT DERMATOLOGY SC |
| Physicians | 289 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christian Wichterman | Dermatology | Forefront Dermatology Sc | 305 E Eisenhower Pkwy, Suite 320, Ann Arbor, MI 48108-3354 |
| Lindsay Michelle Stevens | Nurse Practitioner | Forefront Dermatology Sc | 2246 N Pointe Dr, Warsaw, IN 46582-9042 |
| Miriam Pearl Finkel | Dermatology | Forefront Dermatology Sc | 2790 Mosside Blvd, Suite 720, Monroeville, PA 15146-2757 |
| Stephanie Mathews Kazantsev | Dermatology | Forefront Dermatology Sc | 2051 Plainfield Rd, Crest Hill, IL 60403-1865 |
| Sonam Rama | Dermatology | Forefront Dermatology Sc | 706 W Huron St, Ann Arbor, MI 48103-4212 |
| Danielle Marie Waymire | Dermatology | Forefront Dermatology Sc | 1320 Pabst Farms Cir, Unit 180, Oconomowoc, WI 53066-4878 |
| Marie Saxon Ford | Nurse Practitioner | Forefront Dermatology Sc | 2333 Ring Rd, Elizabethtown, KY 42701-9162 |
| Sarah Campbell | Dermatology | Forefront Dermatology Sc | 913 Menoher Blvd, Johnstown, PA 15905-2834 |
| Gregory Dougan | Physician Assistant | Forefront Dermatology Sc | 911 N Shelby St, Salem, IN 47167-2304 |
| Emily N Williams | Physician Assistant | Forefront Dermatology Sc | 100 N Town Ctr Rd, Suite C, Mooresville, IN 46158-2322 |
| Street Address |
339 OLD HAYMAKER RD SUITE 201 |
| City | MONROEVILLE |
| State | PA |
| Zip | 15146-1685 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas J Keim | Chiropractic | 339 Old Haymaker Rd, Suite 1900, Monroeville, PA 15146-1435 | |
| Lisa A Goldberg | Dermatology | Forefront Dermatology Sc | 339 Old Haymaker Rd, Suite 201, Monroeville, PA 15146-1685 |
| Anna-marie N Reschini | Physician Assistant | Forefront Dermatology Sc | 339 Old Haymaker Rd, Suite 201, Monroeville, PA 15146-1685 |
| Tia Louise Janicki | Physician Assistant | Forefront Dermatology Sc | 339 Old Haymaker Rd, Suite 201, Monroeville, PA 15146-1685 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amrita Kaur | Optometry | Miracle Mile Shopping Ctr, Monroeville, PA 15146 | |
| Lindsey T Nies | Physical Therapy | Pt Group Acquisition LLC | 4017 William Penn Hwy, Monroeville, PA 15146 |
| Kelly Jo Beltz | Speech Language Pathologist | Fox Rehabilitation Services Inc | 279 Ctr Rd, Monroeville, PA 15146-1437 |
| Lisa Baldini | Occupational Therapy | Fox Rehabilitation Services Inc | 279 Ctr Rd, Monroeville, PA 15146-1437 |
| Ruth A Seilhamer | Psychologist, Clinical | 4400 Old Wm Penn Hwy, Suite 202, Monroevile, PA 15146-1480 | |
| Walter Anthony Sposkoski Jr. | Clinical Social Worker | 4328 Old William Penn Hwy, Suite 2b, Monroeville, PA 15146-1496 | |
| Daniel C Marston | Psychologist, Clinical | 222 Spartan Dr, Monroeville, PA 15146-1526 | |
| Thomas M Kalkstein | Chiropractic | 200 Garden City Dr, Monroeville, PA 15146-1732 | |
| Erin Harding | Clinical Social Worker | The Center for Ocd and Anxiety, LLC | 244 Ctr Rd, Suite 301, Monroeville, PA 15146-1789 |
| Debra L Stango | Chiropractic | 244 Ctr Rd, Suite 302, Monroeville, PA 15146-1789 | |
| Find all physicians in zip 15146 | |||
| City | MONROEVILLE |
| Zip Code | 15146 |
| Specialty | DERMATOLOGY |
| City + Specialty | MONROEVILLE + DERMATOLOGY |
Please comment or provide details below to improve the information on Ezra D Mirvish.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.