Marina Aleksandrovna Mironova, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

26162 Issued in SC

Practice address

302 University Parkway
Aiken, SC 29801

Phone

(803) 641-5300

Fax

(803) 641-5767

NPI assigned

Oct 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cogent Healthcare of South Carolina, PC

  • Internal Medicine Physician
  • Charleston, SC
  • NPI 1922045764

  Family Medicine

  NPD (past)
• Colleton Medical Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Walterboro, SC
  • NPI 1659316958
  NPD (past)
• Colleton Medical Hospitalists LLC

  • Hospitalist Physician
  • Walterboro, SC
  • NPI 1942245246
  NPD (past)
• York Physician Services PC

  • Hospitalist Physician
  • Rock Hill, SC
  • NPI 1588898795
  NPD (past)

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1437147139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 UNIVERSITY PARKWAY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "29801",
            "telephone_number": "803-641-5300",
            "fax_number": "803-641-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 UNIVERSITY PARKWAY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "29801",
            "telephone_number": "803-641-5300",
            "fax_number": "803-641-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRONOVA",
        "first_name": "MARINA",
        "middle_name": "ALEKSANDROVNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "26162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00739354",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "P00851424",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindful Mission & Associates
• Jennifer Reed Minichan, M.S., ED.S.
• Diane Minick
• David Brian Minter, MD
• Oletha Rosina Minto, MD
• Christy Mitchell, M.ED
• Jacquelyn Mitchell
• Alma S. Mize, OTR/L
• MJW Corporation
• MJW Corporation

• Hospitalist Physician in Aiken, SC
• Providers in Aiken, SC by specialty
• Hospitalist Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.