ALEXANDER MAXIMOVICH (NPI# 1740240654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740240654 |
| Entity Type | Individual |
| Full Name | ALEXANDER MAXIMOVICH |
| Credential | M.D. |
| Practice Address |
4190 Telegraph Road Suite 1500 Bloomfield Hills MI 48302 |
| Practice Telephone | 2482030900 |
| Practice Fax Number | 2482030902 |
| Mailing Telephone | 2482030900 |
| Mailing Fax Number | 2482030902 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2008-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
AM036883 | MI | Allopathic & Osteopathic Physicians |
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
4301036883 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1320416 | 05 | |
| MI | BCBSM | 1606338060 | 01 |
| Street Address |
4190 TELEGRAPH ROAD SUITE 1500 |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242634 | Lamuriel Lewis | Registered Nurse | 1430 South Telegraph Rd, Bloomfield Hills, MI 48302 | 2020-10-09 |
| 1730794082 | Ola Glezen | Registered Nurse | 1410 South Telegraph Road, Bloomfield Hills, MI 48302 | 2020-09-14 |
| 1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1144887936 | Christine Beth Wilson De Medina | Psychologist | W-4111 Andover Road, Bloomfield Hills, MI 48302 | 2019-05-28 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
| 1588112981 | Carol Van Kampen | Social Worker | 2550 S. Telegraph, Bloomfield Hills, MI 48302 | 2016-09-14 |
| 1770933848 | Rachelle Savalli | Family Medicine | 1961 South Telegraph Rd, Bloomfield Twp, MI 48302 | 2016-06-20 |
| 1699155366 | Aleksey Mishulin | Ophthalmology | 1750 S Telegraph Ste 205, Bloomfield Hills, MI 48302 | 2015-06-08 |
| Find all providers in zip 48302 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801081625 | Advanced Reproductive Medicine & Surgery, PC | Obstetrics & Gynecology | 4190 Telegraph Rd, Suite 1500, Bloomfield Hills, MI 48302-2079 | 2007-09-14 |
| 1902867625 | Manvinder Singh | Obstetrics & Gynecology | 41000 Woodward Ave, Suite 100 East, Bloomfield Hills, MI 48304-5130 | 2006-03-31 |
| 1801030218 | Michigan Reproductive Medicine | Obstetrics & Gynecology | 41000 Woodward Ave, Suite 100 East, Bloomfield Hills, MI 48304-5130 | 2009-04-29 |
| 1821188426 | Ahmad Omar Hammoud | Obstetrics & Gynecology | 37000 Woodward Ave, Bloomfield Hills, MI 48304-0922 | 2006-10-13 |
| 1275545634 | Michael Scott Mersol-barg | Obstetrics & Gynecology | 41000 Woodward Ave, Suite 100 East, Bloomfield Hills, MI 48304-5130 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023282647 | Edwin Peter Peterson | Obstetrics & Gynecology | 375 W Northfield Church Rd, Ann Arbor, MI 48105 | 2008-04-15 |
| 1053472027 | Carole L Kowalczyk | Obstetrics & Gynecology | 4700 E. 13 Mile Road, Suite 200, Warren, MI 48092 | 2006-12-13 |
| 1861571150 | Fereshteh Fahimi | Obstetrics & Gynecology | Spb 1200 E Michigan Ave, Suite 305, Lansing, MI 48912 | 2006-11-06 |
| 1851324610 | Grand Rapids Fertility & Ivf, PC | Obstetrics & Gynecology | 555 Mid Towne St Ne, Ste 300, Grand Rapids, MI 49503-2515 | 2006-07-07 |
| 1831159078 | Bradley Todd Miller | Obstetrics & Gynecology | 130 Town Center Dr, Suite 106, Troy, MI 48084-1744 | 2006-03-23 |
| 1013994425 | Maria F Hayes | Obstetrics & Gynecology | 18181 Oakwood Blvd, Ste 109, Dearborn, MI 48124 | 2005-12-28 |
| 1407838535 | Asghar Afsari | Obstetrics & Gynecology | 7419 Middlebelt Rd, Suite 1, West Bloomfield, MI 48322-4182 | 2005-11-15 |
| 1629364856 | Phillip W Lambert Md PC | Obstetrics & Gynecology | 341 Canterbury Dr, Saginaw, MI 48638-5812 | 2011-06-27 |
| 1952696346 | Michigan Center for Fertility and Womens Health, Plc | Obstetrics & Gynecology | 4700 E 13 Mile Rd, Warren, MI 48092-4438 | 2011-06-14 |
| 1063735058 | Hassan Amirikia Md PC | Obstetrics & Gynecology | 29877 Telegraph Rd, Suite 302, Southfield, MI 48034-1332 | 2010-03-05 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48302 |
Please comment or provide details below to improve the information on ALEXANDER MAXIMOVICH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.