MIRANDA G WORLEY


Address: 301 Med Tech Pkwy, Ste 240, Johnson City, TN 37604-2364
Phone: 4237945520

MIRANDA G WORLEY (NPI# 1093041865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093041865
Entity Type Individual
Full Name MIRANDA G WORLEY
Credential PA-C
Practice Address 301 Med Tech Pkwy
Ste 240
Johnson City
TN 37604-2364
Practice Telephone 4237945520
Practice Fax Number 4232826940
Mailing Telephone 4237945520
Mailing Fax Number 4232826940
Enumeration Date 2009-10-28
Last Update Date 2009-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
1788 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 301 MED TECH PKWY
STE 240
City JOHNSON CITY
State TN
Zip Code 37604-2364

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538162748 Alfonzo S Arze Obstetrics & Gynecology 301 Med Tech Pkwy, Suite 200, Johnson City, TN 37604 2005-05-23
1659933901 Andrew A Kovacs Nurse Practitioner 301 Med Tech Pkwy, Johnson City, TN 37604-2630 2019-07-07
1114472883 Tenessa A Tipton Nurse Practitioner 301 Med Tech Pkwy, Johnson City, TN 37604-2630 2016-08-23
1437604535 Erika Masters Registered Nurse 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604-2364 2016-08-18
1013462407 Ariel Denton Nurse Practitioner 301 Med Tech Pkwy, Suite 200, Johnson City, TN 37604-2364 2016-08-16
1023466786 Tracy Romans Registered Nurse 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604-2364 2016-06-02
1073960381 Erin Mcpherson Registered Nurse 301 Med Tech Pkwy, Suite 160, Johnson City, TN 37604-2364 2016-05-17
1265838650 Vanessa L Ailey Advanced Practice Midwife 301 Med Tech Pkwy, Suite 200, Johnson City, TN 37604 2014-11-12
1336558626 Angela D Deschner Registered Nurse 301 Med Tech Pkwy, Ste 240, Johnson City, TN 37604 2014-08-12
1770994972 Sarah M Mcrae Nurse Practitioner 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604-2364 2014-05-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417560707 Brant Logan Nickens Physical Therapist 809 Lamont St and Veterans Way, Johnson City, TN 37604 2020-08-26
1952911562 David Sandlin Hobbs Pharmacist Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 2020-08-07
1528688272 Whitney Marie Ward Physical Therapist Lamont Street and Veterans Way, Johnson City, TN 37604 2020-04-23
1861050015 Akesh Thomas Student in an Organized Health Care Education/Training Program Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 2019-06-03
1336629021 Medical Education Assistance Corporation Clinic/Center 820 W Market St, Johnson City, TN 37604 2018-08-21
1093208951 Lauren Tiffany Hayden Physician Assistant 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 2018-06-14
1174014450 Jerica Moore Specialist/Technologist 1041 Hamiltion Place Dr., Johnson City, TN 37604 2018-05-23
1053809442 Syed Ghazanfar Hasan Student in an Organized Health Care Education/Training Program Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 2018-05-01
1699262485 Sonia Kumari Oad Student in an Organized Health Care Education/Training Program 178 West Maple St, Johnson City, TN 37604 2018-04-17
1821519364 Mahmoud El Iskandarani Internal Medicine 1084 W Oakland Avenue, 748, Johnson City, TN 37604 2017-07-06
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083965651 Shalena Peterson Physician Assistant 301 Med Tech Pkwy Ste 280, Johnson City, TN 37604-2364 2012-09-24
1063544716 Christine Turbyfill Kinley Physician Assistant 3741 W Market St, Johnson City, TN 37604 2007-03-09
1508877416 Pamela B Davis Physician Assistant 1627 Old Gray Station Rd, Ste 4, Johnson City, TN 37615-4193 2006-08-10
1437166477 Thomas Alan Frantzen Physician Assistant Corner of Sidney and Lamont Streets, Johnson City, TN 37684-4000 2006-08-02
1700828977 Melvin James Willis Physician Assistant James H Quillen/va Medical Center, Coner of Sidney & Lamont, Johnson City, TN 37684 2006-06-12
1902888944 Bryan Daniel Lorch Physician Assistant 2514 Wesley St, 102, Johnson City, TN 37601-1764 2005-11-16
1386268159 James Owen Thigpen Physician Assistant 410 N State of Franklin Rd Ste 130, Johnson City, TN 37604-6972 2020-06-08
1841814803 Anthony Brian Jones Physician Assistant 2428 Knob Creek Rd Ste 102, Johnson City, TN 37604-2396 2020-06-04
1790319317 Frances Wilson Physician Assistant 401 E Watauga Ave, Johnson City, TN 37601-4036 2020-02-24
1841741196 Grace Internal Medicine, LLC Physician Assistant 2514 Wesley St, Suite 102, Johnson City, TN 37601-1764 2016-10-21
Find all providers in JOHNSON CITY

Competitor

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City JOHNSON CITY
Zip Code 37604

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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