Gennady G Miroshnichenko, MD

Gynecologic oncologist in Fort Worth, Texas · NPI 1164784450

Gennady Miroshnichenko is one of 5 gynecologic oncologists practicing in Fort Worth, Texas. Gennady Miroshnichenko practices with Acclaim Physician Group Inc.

Registry record (NPPES)

NPI: 1164784450
Type: Type 1 · Individual
Primary taxonomy: Obstetrics & Gynecology, Gynecologic Oncology · 207VX0201X
Address on file: 1201 S Main St
Fort Worth, TX 76104-4804
(817) 702-6500
Enumerated: Jun 12, 2012
Record last updated: Feb 1, 2021
License states listed: TX

Medicare (CMS)

Enrollment: Medicare-enrolled in TX
Gynecological Oncology
Revalidation due: No date set by CMS

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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history

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Practice locations

1201 S Main St
Fort Worth, TX 76104
(817) 702-6500
1350 S Main St Fl 1 Healing Wings/Infectious Disease
Fort Worth, TX 76104
(817) 702-3701
1350 S Main St Suite 1600
Fort Worth, TX 76104
(817) 702-9701
1500 S Main St
Fort Worth, TX 76104
1500 S Main St Fl 1 Urgent Care Center
Fort Worth, TX 76104
(817) 702-1451
1575 S Main St
Fort Worth, TX 76104
(817) 702-3431

More gynecologic oncologists in Fort Worth

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.