V Miroshnichenko DPM PA

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO2442 Issued in FL

Legal business name

V MIROSHNICHENKO DPM PA

Practice address

8333 W McNab Rd
Suite 116
Tamarac, FL 33321-3242

Phone

(954) 721-1990

Fax

(954) 721-1932

NPI assigned

Aug 7, 2007

Last updated

Apr 26, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Victor Miroshnichenko, D.P.M.NPI 1518081595

Title

President / Owner

Phone

(954) 721-1990

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victor Miroshnichenko, DPM

  • Foot Surgery Podiatrist
  • Tamarac, FL
  • NPI 1518081595
  Medicare reassignment NPD Authorized official
• Richard A Hodes, DPM

  • Podiatrist
  • Tamarac, FL
  • NPI 1629072137
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1336330026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 W MCNAB RD",
            "address_2": "SUITE 116",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213242",
            "telephone_number": "954-721-1990",
            "fax_number": "954-721-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 W MCNAB RD",
            "address_2": "SUITE 116",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213242",
            "telephone_number": "954-721-1990",
            "fax_number": "954-721-1932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V MIROSHNICHENKO DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "MIROSHNICHENKO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "954-721-1990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AP148",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mohammad Usman, DO
• Gerardo Alberto Valdes, M.D.
• Martha Beatriz Valdes, DDS
• Thomas Edward Vallorani, D.C.
• Value Care of Florida, LLC
• Valuecare Family Clinic Inc

• Podiatrist in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.