Maxim Dzeba, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD45229 Issued in PA

Practice address

1500 Fifth Ave
McKeesport, PA 15132-2422

Phone

(412) 664-2122

NPI assigned

Apr 1, 2011

Last updated

Aug 19, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, IL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Elk Regional Health Center

  dba Penn Highlands Elk Emergency Group

  • Emergency Medicine Physician
  • Saint Marys, PA
  • NPI 1114460391
  Medicare reassignment NPD
• J C Blair Memorial Hospital

  • General Acute Care Hospital
  • Huntingdon, PA
  • NPI 1790996445
  Medicare reassignment NPD
• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004
  Medicare reassignment NPD
• Cook County

  dba John H. Stroger, Jr. Hospital of Cook County

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1588612832
  Medicare reassignment NPD
• The Board of Trustees of the University of Illinois

  • Anatomic Pathology Physician
  • Chicago, IL
  • NPI 1386863819
  Medicare reassignment NPD
• Brookville Hospital

  dba Emergency Room

  • Emergency Medicine Physician
  • Brookville, PA
  • NPI 1063560852
  Medicare reassignment
• Dubois Regional Medical Center

  dba Penn Highlands DuBois Emergency Department

  • Emergency Medicine Physician
  • Du Bois, PA
  • NPI 1992802391
  Medicare reassignment
• Elk Regional Health Center

  dba Penn Highlands Elk

  • Long Term Care Pharmacy
  • Saint Marys, PA
  • NPI 1790570067
  NPD
• J C Blair Memorial Hospital

  dba Penn Highlands Community Pharmacy State College

  • Pharmacy
  • State College, PA
  • NPI 1588408520
  NPD
• University of Pittsburgh Physicians

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1285692699
  NPD
• University of Pittsburgh Physicians

  • Urgent Care Clinic/Center
  • Franklin, PA
  • NPI 1619381456

  Emergency Medicine

  NPD
• Board of Trustees of the University of Illinois

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1891913992
  NPD

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1669761417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 FIFTH AVE",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322422",
            "telephone_number": "412-664-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 FIFTH AVE",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322422",
            "telephone_number": "412-664-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZEBA",
        "first_name": "MAXIM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-01",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD45229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Lynn Droske
• Avery Lane Dudek
• Donna Coleman Durant, CRNP
• Dva Healthcare of Pennsylvania LLC (McKeesport West Dialysis)
• Anna Dwenger
• Brian Dzurenda, PT
• Twana Edmonds, MSCP
• Elizabeth Edwards
• Susan Marie Ehrlich
• Caitlin Elizabeth Eiben, DPT

• Emergency Medicine Physician in McKeesport, PA
• Providers in McKeesport, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.