Bruce Mirvis, Md

LBN: Polaris Pediatrics Inc
Bruce Mirvis, Md is an health care organization with primary practice located at 8947 Antares Avenue , Columbus OH 43240-2012. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Polaris Pediatrics Inc can be contacted via phone (614) 437-5600, or through Mirvis, Bruce Robert via phone (614) 437-5600.

Contact Information

Primary practice address
8947 Antares Avenue Columbus OH 43240-2012
Phone: (614) 437-5600
Fax: (614) 985-1499
Website:
Map and Directions
Authorized official contact:
Name: Mirvis, Bruce Robert Doctor of Medicine (MD)
Phone: (614) 437-5600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35039260 Ohio

Profile Details

NPI number 1609175819
LBN Legal business name Polaris Pediatrics Inc
DBA Doing business as Bruce Mirvis, Md
Authorized official Mirvis, Bruce Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2011
Last updated Jul 7th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609175819 NPPES
Ohio MEDICAID 0345086

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