NPI age
13 years
Enumerated 2012-06-12
● Active
Type 1 · Individual
Gennady G Miroshnichenko, MD
Miroshnichenko is 1 of 8 obstetrics & gynecology providers in Fort Worth and 1 of 159 in Texas.
Primary specialty
Obstetrics & Gynecology
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-02-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 159 active obstetrics & gynecology providers in Texas.
NPI age
13 years
↓ 6 yr below median (19 yr)
State licenses
1 state
33% of peers hold multiple states
Subspecialties
1
In the 52% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-06Enumerated in NPPES
2012
2026
Where they practice
Practice location
1201 S Main St
Fort Worth, TX 761044804
Mailing address
Po Box 732973
Dallas, TX 753732973
Specialties
-
Obstetrics & Gynecology PrimaryAn obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic...
-
Obstetrics & GynecologyAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 307460101 | |
| 01 (TX) | 8DM684 | BCBS |
Practice context
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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