Active NPI
Michael Mirwald, M.D.
- Obstetrics & Gynecology Physician
- Rochester, NY
National Provider Identifier
1891760682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 124283
- Practice address
- 120 Erie Canal Dr
Suite 200
Rochester, NY 14626-4607 - Phone
- (585) 225-6680
- Fax
- (585) 225-3472
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 124283 | NY | Primary |
Addresses
Primary practice location
120 Erie Canal Dr
Suite 200
Rochester, NY 14626-4607
Mailing address
310 Exchange Blvd.
Apt. 158
Rochester, NY 14608-2164
Phone (585) 225-6680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265587200000",
"number": "1891760682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 EXCHANGE BLVD.",
"address_2": "APT. 158",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146082164",
"telephone_number": "585-225-6680",
"fax_number": "585-225-3472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 ERIE CANAL DR",
"address_2": "SUITE 200",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146264607",
"telephone_number": "585-225-6680",
"fax_number": "585-225-3472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRWALD",
"first_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2010-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "124283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.