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BRUCE MIRVIS, MD
NPI 1609175819
Pediatrics in Columbus, OH

Active since March 28, 2011
8947 ANTARES AVENUE, COLUMBUS, OH 43240(614) 437-5600(614) 985-1499 Get Directions Write a Review

NPPES record last updated: July 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bruce Mirvis, Md NPPES

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

BRUCE MIRVIS, MD (NPI 1609175819) is a healthcare organization registered as a pediatrics in Columbus, Ohio and active in the NPI registry since March 2011. The organization lists Bruce Robert Mirvis, Owner, as its authorized official.

NPPES Registry Identity

NPI1609175819
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePOLARIS PEDIATRICS INC
Location Address8947 ANTARES AVENUEColumbus, OH 43240-2012
Mailing Address8947 Antares AvenueColumbus, OH 43240-2012 · (614) 437-5600 · Fax (614) 985-1499
Phone(614) 437-5600
Fax(614) 985-1499
Organization SubpartNo
Authorized OfficialBruce Robert MirvisOwner · (614) 437-5600
Enumeration DateMarch 28, 2011
Last NPPES UpdateJuly 7, 2011
✔ NPI 1609175819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35039260
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
8947 ANTARES AVENUE, Columbus, OH 43240
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Other Names 1

Other NameBruce Mirvis, Md

Other Identifiers 2

Medicaid0345086OH
Medicare UPINC02637OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Polaris Pediatrics Inc's NPI number?

The NPI number for Polaris Pediatrics Inc is 1609175819. It was assigned to this organization in the NPPES registry on March 28, 2011. The provider is also known as Bruce Mirvis, MD.

Where is Polaris Pediatrics Inc located?

Polaris Pediatrics Inc is located at 8947 Antares Avenue, Columbus, OH 43240. The listed phone number is (614) 437-5600.

What is Polaris Pediatrics Inc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Polaris Pediatrics Inc was last updated on July 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.