MIRANDA MEDICAL PLLC (NPI# 1144659327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144659327 |
| Entity Type | Organization |
| Organization Name | MIRANDA MEDICAL PLLC |
| Practice Address |
94220 4th St Gold Beach OR 97444-7756 |
| Mailing Address |
Po Box 5498 Twin Falls ID 83303-5498 |
| Practice Telephone | 2084201319 |
| Practice Fax Number | 7024535741 |
| Mailing Telephone | 2084201319 |
| Mailing Fax Number | 7024535741 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |
| Authorized Official Name | A RICHARD MIRANDA (OWNER) |
| Authorized Official Telephone | 2084201319 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD151354 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
94220 4TH ST |
| City | GOLD BEACH |
| State | OR |
| Zip Code | 97444-7756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950312 | Richard Battey | Obstetrics & Gynecology | 94220 4th St, Gold Beach, OR 97444-7756 | 2005-05-24 |
| 1942846423 | Jane M Doroff | Dietitian, Registered | 94220 4th St, Gold Beach, OR 97444-7756 | 2019-11-20 |
| 1912473349 | Madison Rose Yarno | Dietitian, Registered | 94220 4th St, Gold Beach, OR 97744 | 2018-10-24 |
| 1861902397 | Timothy Gamble | Physical Therapy Assistant | 94220 4th St, Gold Beach, OR 97444-7756 | 2017-10-11 |
| 1558814327 | Metasequoia Emergency Physicians, LLC | Physician Assistant | 94220 4th St, Gold Beach, OR 97444-7756 | 2016-07-28 |
| 1194184143 | Ati Urban Yates Md Facp PC | Internal Medicine | 94220 4th St, Gold Beach, OR 97444-7756 | 2016-02-18 |
| 1740658236 | Emily Whaley | Speech-Language Pathologist | 94220 4th St, Gold Beach, OR 97444-7756 | 2015-09-14 |
| 1558778365 | Laine J Murphey Md PC | Internal Medicine | 94220 4th St, Gold Beach, OR 97444-7756 | 2014-07-14 |
| 1710307046 | Paul B Bascom Md LLC | Internal Medicine | 94220 4th St, Gold Beach, OR 97444-7756 | 2014-04-25 |
| 1720407463 | Paul B Bascom Md | Internal Medicine | 94220 4th St, Gold Beach, OR 97444-7756 | 2014-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619460227 | Curry Health District | Clinic/Center | 94125 Fourth Street, Gold Beach, OR 97444 | 2018-06-08 |
| 1427553692 | Columbiacare Services | Clinic/Center | 29415 Russell St, Gold Beach, OR 97444 | 2018-03-28 |
| 1972951630 | Kay Minkler | Case Manager/Care Coordinator | 29836 Mary Street, Gold Beach, OR 97444 | 2016-06-02 |
| 1811305717 | Mary Chambers | Counselor | 29821 Colvin St., Gold Beach, OR 97444 | 2014-07-24 |
| 1750703575 | Oregon Retina, LLP | Ophthalmology | 94225 E. 4th St., Gold Beach, OR 97444 | 2014-01-14 |
| 1548600208 | Stephanie Ann Laudert | Family Medicine | Curry Medical Practice, 94220 4th Street, Gold Beach, OR 97444 | 2013-06-26 |
| 1982944047 | Marta Maya Druzdzel | Massage Therapist | 29740 Ellensburg Ave, Gold Beach, OR 97444 | 2013-02-26 |
| 1598035347 | Curry County Health Department | Public Health or Welfare | 94235 Moore St., Gold Beach, OR 97444 | 2012-01-11 |
| 1013296920 | Merna Peterson | Counselor | 29821 Colvin, Gold Beach, OR 97444 | 2011-08-09 |
| 1609050129 | County of Curry | Home Health | 29984 Ellensburg Ave, Gold Beach, OR 97444 | 2007-12-19 |
| Find all providers in zip 97444 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386022358 | Joseph Sedillo | Internal Medicine | 1879 Williams Hwy, Grants Pass, OR 97527-5864 | 2015-05-11 |
| 1013326362 | Steelhead Specialty Group, PC | Internal Medicine | 2880 Nw Stewart Pkwy Ste 300, Roseburg, OR 97471-1205 | 2014-08-11 |
| 1366860553 | Daniel Guy | Internal Medicine | 4805 Ne Glisan St Ste 11n-1, Portland, OR 97213-2933 | 2014-04-03 |
| 1730422015 | Annie Kwok Hung | Internal Medicine | 24988 Se Stark St Ste 140, Gresham, OR 97030-8326 | 2013-04-04 |
| 1033464318 | William Galen | Internal Medicine | 1221 Sw 10th Ave, 1804, Portland, OR 97205-2426 | 2012-07-23 |
| 1164711305 | Robert Francis Granatir | Internal Medicine | 3863 Saint Andrews Loop S, Salem, OR 97302-9498 | 2011-03-28 |
| 1730348632 | Sasha Elizabeth Stanton | Internal Medicine | 4805 Ne Glisan St # 2n103, Portland, OR 97213-2933 | 2008-06-05 |
| 1952578742 | Yale Sacks | Internal Medicine | 2200 Old Military Rd, Central Point, OR 97502-1022 | 2008-05-12 |
| 1114123601 | Joshua Michael Weese | Internal Medicine | 2880 Nw Stewart Parkway, Suite 300, Roseburg, OR 97471 | 2007-06-22 |
| 1437370947 | Stephen A Williams | Internal Medicine | 2880 Nw Stewart Parkway, Suite 300, Roseburg, OR 97471-1201 | 2007-05-01 |
| Find all providers with the same taxonomy | ||||
| City | GOLD BEACH |
| Zip Code | 97444 |
Please comment or provide details below to improve the information on MIRANDA MEDICAL PLLC.
| 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.