CONSTANTINO DIAZ MIRANDA (NPI# 1093782963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093782963 |
| Entity Type | Individual |
| Full Name | CONSTANTINO DIAZ MIRANDA |
| Credential | MD |
| Practice Address |
435 2nd Street Newport TN 37821-3703 |
| Mailing Address |
Po Box 30707 Knoxville TN 37930-0707 |
| Practice Telephone | 4236252200 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2012-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | TN021298 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
435 2ND STREET |
| City | NEWPORT |
| State | TN |
| Zip Code | 37821-3703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154367233 | Hazel Charlene Davis | Nurse Anesthetist, Certified Registered | 435 2nd Street, Newport, TN 37821-3703 | 2006-06-20 |
| 1629015268 | Michael D Williams | Nurse Anesthetist, Certified Registered | 435 2nd Street, Newport, TN 37821-3703 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649733593 | Deborah Diane Webb | Licensed Practical Nurse | 1203 Beechwood Road, Newport, TN 37821 | 2019-04-08 |
| 1972072353 | Meg Marie Collins | Counselor | 990 Hwy 25, Newport, TN 37821 | 2018-11-15 |
| 1184199515 | Newport Family Eyecare | Optometrist | 1002 W Highway 25/70, Newport, TN 37821 | 2018-10-12 |
| 1578807269 | Newport Eyecare Center Pllc | Optometrist | 115 Hedrick Drive, Newport, TN 37821 | 2012-11-19 |
| 1538292867 | James Loran Hodge | Optometrist | 1075 Cosby Highway, Newport, TN 37821 | 2007-03-14 |
| 1336271071 | Alice Louise Dalton | Case Manager/Care Coordinator | 215 Hedrick Drive, Newport, TN 37821 | 2007-03-09 |
| 1700918521 | Kristi Renee Hansel | Case Manager/Care Coordinator | 215 Hendrick Drive, Newport, TN 37821 | 2007-03-09 |
| 1255404497 | Jeremy E Sherrod | Pharmacist | 602 E Broadway, Newport, TN 37821 | 2006-11-16 |
| 1316016306 | Stephen Kent Priser | Pharmacist | 468 Eastern Plaza, Newport, TN 37821 | 2006-11-06 |
| 1881770006 | Steven Fuller Smith | Dentist | 305 Cosby Hwy, Newport, TN 37821 | 2006-10-31 |
| Find all providers in zip 37821 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457393902 | Ashley W Forsyth | Emergency Medicine | 1211 Sw Bay St, Unit B, Newport, OR 97365-4843 | 2006-06-11 |
| 1801268230 | Pend Oreille River Emergency Physicians Pllc | Emergency Medicine | 714 W Pine St, Newport, WA 99156-9046 | 2015-10-26 |
| 1821478611 | Cody Conard | Emergency Medicine | 1205 Mclain St, Newport, AR 72112-3533 | 2015-06-05 |
| 1477961308 | Audra Luz Kathleena Wisham | Emergency Medicine | 930 Sw Abbey St, Newport, OR 97365-4820 | 2014-07-23 |
| 1063823375 | Aaron Reinke | Emergency Medicine | 714 W Pine St, Newport, WA 99156 | 2014-05-09 |
| 1518387984 | Curtis Gill | Emergency Medicine | 714 W Pine St, Newport, WA 99156-9046 | 2014-04-23 |
| 1144648494 | David Pinckney | Emergency Medicine | 189 Prouty Dr, Newport, VT 05855-9326 | 2014-04-03 |
| 1093137812 | Summit Medical Group, Inc. | Emergency Medicine | 1400 Grand Avenue, Newport, KY 41071-2570 | 2014-01-14 |
| 1285071274 | Nathanial Clifford Lilya | Emergency Medicine | 714 W Pine St, Newport, WA 99156 | 2013-05-30 |
| 1619276391 | Karen Melissa Fischer | Emergency Medicine | 930 Sw Abbey St, Newport, OR 97365-4820 | 2011-03-21 |
| Find all providers in NEWPORT | ||||
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| 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.