JOSEPH R MIRANDA


Address: 3600 E Harry St, Wichita, KS 67218-3713
Phone: 3166895050

JOSEPH R MIRANDA (NPI# 1568499358) 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) 1568499358
Entity Type Individual
Full Name JOSEPH R MIRANDA
Credential MD
Practice Address 3600 E Harry St
Wichita
KS 67218-3713
Mailing Address Po Box 645
Wichita
KS 67201-0645
Practice Telephone 3166895050
Practice Fax Number 3166896192
Mailing Telephone 3166895050
Mailing Fax Number 3166896192
Enumeration Date 2006-06-27
Last Update Date 2014-05-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
22240 KS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KS COVENTRY 16908 01
KS 100141070C 05
KS BCBS 018205 01
KS PHS 1209 01
KS MULTIPLAN 12149471 01
KS HPK 200136 01

Other Providers JOSEPH MIRANDA

NPI Name Taxonomy Address Enumeration
1417402876 Joseph M Miranda Naprapath 13393 Sw 11th Ln, Miami, FL 33184-1946 2016-08-15
1477021202 Joseph D. Miranda Dentist 279 Whippany Rd, Whippany, NJ 07981-1941 2018-11-09
1164728978 Joseph Miranda Physical Therapist 210 North Ave E, Cranford, NJ 07016-2491 2011-01-27

Office Location

Street Address 3600 E HARRY ST
City WICHITA
State KS
Zip Code 67218-3713

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629073812 Philippe Samson Pediatrics 3600 E Harry St, Wichita, KS 67218-3713 2005-06-15
1326664822 Boaz B Beard Physical Therapist 3600 E Harry St, Wichita, KS 67218-3713 2020-06-19
1932680071 Nathen D Yunker Registered Nurse 3600 E Harry St, Wichita, KS 67218-3713 2018-08-27
1730697012 Ryan Patrick Prebble Nurse Practitioner 3600 E Harry St, Wichita, KS 67218-3713 2018-01-20
1730699844 Anna Marie Sewell Nurse Practitioner 3600 E Harry St, Wichita, KS 67218-3713 2017-10-03
1598145005 Ascension Via Christi Imaging Wichita, LLC Radiology 3600 E Harry St, Wichita, KS 67218-3713 2015-06-01
1659768125 Cep America-kansas, LLC Emergency Medicine 3600 E Harry St, Wichita, KS 67218-3713 2015-04-22
1942696497 Erik Dill Pathology 3600 E Harry St, Wichita, KS 67218-3713 2015-04-11
1649616988 Kathryn M Fulghum Nurse Practitioner 3600 E Harry St, Wichita, KS 67218-3713 2013-05-14
1366888570 Megan M Frieze Registered Nurse 3600 E Harry St, Wichita, KS 67218-3713 2013-05-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114544392 Diana Ho Optometrist 980 Oliver Street, Wichita, KS 67218 2020-07-03
1134773690 Lily Lopez Nurse's Aide 5107 E Kellogg Drive, Wichita, KS 67218 2019-08-01
1750862512 Kelsi Wenger Student in an Organized Health Care Education/Training Program 5500 E Kellog Dr, Wichita, KS 67218 2018-08-28
1770038937 Hair Replacement Clinic Specialist 1815 S Windsor, Wichita, KS 67218 2016-08-17
1457757346 South Wind Women's Centter, LLC Clinic/Center 5701 E Kellogg Drive, Wichita, KS 67218 2014-11-05
1124460787 Teri Kitchen Social Worker 3414 Kinkaid, Wichita, KS 67218 2013-07-24
1053660142 Glenda Rodgers-lawless, Ph.d., Lcpc, Pa Community/Behavioral Health 4601 E Douglas, Wichita, KS 67218 2012-09-05
1649541848 Stephen Rhinehart Registered Nurse 5500 E Kellogg Dr., Wichita, KS 67218 2012-01-19
1457666927 Recovery Services Council Inc. Point of Service 1611 South Rutan, Wichita, KS 67218 2010-08-09
1043535867 Melissa A Weinley Respiratory Therapist, Registered 5500 East Kellog Dr, Wichita, KS 67218 2010-04-05
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205335551 Elias O Bernard Radiology 6505 E Central Ave Ste 208, Wichita, KS 67206-1924 2018-02-01
1760627616 Gdx, P.a. Radiology 6120 Shadybrook St, Wichita, KS 67208-1862 2008-12-06
1609940675 Wayne Mason Radiology 701 N Preston Trl, Wichita, KS 67230-1525 2006-11-20
1629162326 Great Plains Imaging, LLC Radiology 8925 W Maple St, Wichita, KS 67209-1462 2006-10-03
1841209236 Paul L Rodriguez Radiology 4713 N Portwest Cir, Wichita, KS 67204-2356 2006-08-05
1376507590 Line Diagnostics Inc Radiology 630 S Hillside St, Wichita, KS 67211-2157 2006-04-14
1225034614 Claudia A Lawn Radiology 144 S Hillside St, Wichita, KS 67211-2154 2005-06-22
1013913490 Akash C. Joshi Radiology 551 N Hillside St, Ste 320, Wichita, KS 67214-4926 2005-06-22
1790321479 Anthony Francis Harrison Radiology 929 N Saint Francis Ave, Wichita, KS 67214-3821 2019-11-18
1255894580 Jimmy Rong Radiology 1010 N Kansas St Ste 3023, Wichita, KS 67214-3124 2019-04-12
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Competitor

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City WICHITA
Zip Code 67218

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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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