Yevgeny Eugene Mironer, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

184375 Issued in SC

Practice address

279 E Kennedy St
Spartanburg, SC 29302-1912

Phone

(864) 583-0053

Fax

(864) 583-0390

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NC, CA2 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 and National Provider Directory roles.

• Carolinas Center for Advanced Management of Pain, LLC

  • Interventional Pain Medicine Physician
  • Spartanburg, SC
  • NPI 1750304002

  NC

  Medicare reassignment
• John Qian M.D. Inc.

  • Interventional Pain Medicine Physician
  • Chula Vista, CA
  • NPI 1356977656
  NPD
• John Qian M.D. Inc.

  • Interventional Pain Medicine Physician
  • San Diego, CA
  • NPI 1902061070
  NPD

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1992728141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6130",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293046130",
            "telephone_number": "864-583-0053",
            "fax_number": "864-583-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 E KENNEDY ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021912",
            "telephone_number": "864-583-0053",
            "fax_number": "864-583-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRONER",
        "first_name": "YEVGENY",
        "middle_name": "EUGENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NC",
            "license": "200200419",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "SC",
            "license": "184375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "013KE",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2967",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "571049338",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89013KE",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1456",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Minner, DO
• Kimberly Lyn Minnick, LISW-CP, MAC
• Alyssa Boscia Minute, DNP
• Miracle Medical Supply Inc
• Srdjan Mirkovic, MD
• Irina Surzhukov Mishler, APRN, NP-C
• Ernest N Mistr, MD
• Kyonda Mitchell-Porter
• Alexandra Mitchell, MD
• Angeliki Anastasia Mitsianis

• Interventional Pain Medicine Physician in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Interventional Pain Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.