MRS. MARINA SEMENOVNA KYAZIMOVA PA-C
NPI 1265530877
Physician Assistant in Greensboro, NC

Q: What is Marina Kyazimova's NPI number?

The NPI number for Marina Kyazimova is 1265530877. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Marina Kyazimova's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Marina Kyazimova was last updated on November 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 20, 2006

3803 N ELM ST, GREENSBORO, NC 27455(336) 540-7067(888) 882-3919 Get Directions Write a Review

NPPES record last updated: November 3, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Marina Semenovna Kyazimova Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARINA SEMENOVNA KYAZIMOVA PA-C (NPI 1265530877) is an individual physician assistant in Greensboro, North Carolina, licensed in North Carolina (103425) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1265530877

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. MARINA SEMENOVNA KYAZIMOVACredential: PA-C

Location Address3803 N ELM STGreensboro, NC 27455-2593

Mailing Address3803 N Elm StGreensboro, NC 27455-2593 · (336) 540-7067 · Fax (336) 540-6756

Phone(336) 540-7067

Fax(888) 882-3919

Sole ProprietorNo

Enumeration DateSeptember 20, 2006

Last NPPES UpdateNovember 3, 2009

✔ NPI 1265530877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 103425

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3803 N ELM ST, Greensboro, NC 27455

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Other Identifiers 2

Medicare UPINP48667NC

Medicare ID-Type Unspecified2754372NC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACEY S. TUXBURY C.N.P.

Registered Nurse