Michael Madievsky,M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A65040 Issued in CA

Legal business name

MICHAEL MADIEVSKY,M.D.

Practice address

18411 Clark St Ste 204
Tarzana, CA 91356-3535

Phone

(818) 996-4796

Fax

(818) 996-4793

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Madievsky, M.D.NPI 1982696613

Title

President

Phone

(818) 996-4796

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Madievsky, MD

  • Gastroenterology Physician
  • Tarzana, CA
  • NPI 1982696613
  NPD (past) Authorized official

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1558540294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18411 CLARK ST STE 204",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563535",
            "telephone_number": "818-996-4796",
            "fax_number": "818-996-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18411 CLARK ST STE 204",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563535",
            "telephone_number": "818-996-4796",
            "fax_number": "818-996-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MADIEVSKY,M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "MADIEVSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-996-4796",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A65040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A650400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Polly Clayton Meyers, M.S., LADAC
• Michael D. Landman, M.D., Inc.
• Michael Eshaghian MD Inc
• Michael H. Burnam, M.D. a Medical Corp
• Michael Hirt MD PC
• Michael S. Malamed, M.D., a Medical Corporation
• Susan Tracey Migdalski
• Mike Imberman D M D Inc a Professional Corporation
• Georges Mikhael, PHARM.D.
• Maged S. Mikhail, M.D.

• Gastroenterology Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.