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MARINA PERMIAKOVA D.O. NPI 1164763215


NPI Information

NPI: 1164763215
Provider Name: MARINA PERMIAKOVA, D.O.
Classification: General Practice - 208D00000X
Entity Type: Individual
Organization: BHSM REHABILITATION LLC

PECOS Registration: Yes

Address:
14416 W MEEKER BLVD BLDG C
STE 200
SUN CITY WEST, AZ
ZIP 85375
Phone: (623) 583-5271
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Marina Permiakova, D.O. is a general practice in Sun City West, AZ with 12 years of experience. Marina Permiakova, D.O. NPI is 1164763215. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduation Year:2012

The provider's business location address is:

14416 W MEEKER BLVD BLDG C
STE 200
SUN CITY WEST, AZ
ZIP 85375-284
Phone: (623) 583-5271

The NPI 1164763215 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/13/2013 and was last updated on 2/4/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeBP10042480TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.