Kristian R Henriquez Mirandona
HOSPITAL CARE GROUP PC


Address: 700 Broadway, Fort Wayne, IN 46802-1493
Phone: 2604253000

Kristian R Henriquez Mirandona (NPI# 1245671585, PAC ID# 1850681347) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1245671585
PAC ID by PECOS 1850681347
Professional Enrollment ID I20180806001618
Full Name Kristian R Henriquez Mirandona
Organization Legal Name HOSPITAL CARE GROUP PC
Address 700 Broadway
Fort Wayne
IN 46802-1493
Phone Number 2604253000
Gender M
Graduation Year 2009
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 7416107487
Number of Group Practice Members 37
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
151315 CAMERON MEMORIAL COMMUNITY HOSPITAL INC

Other Locations

Address Phone Organization
700 Broadway, Fort Wayne, IN 46802-1493 2604253000 HOSPITAL CARE GROUP PC

Organization Information

Organization Legal Name HOSPITAL CARE GROUP PC
Physicians 32

Physicians with the same organization

Name Specialty Organization Address
Smitha Patibandla Psychiatry Hospital Care Group PC 2520 E Dupont Rd, Fort Wayne, IN 46825-1675
Douglas I Cifuentes Internal Medicine Hospital Care Group PC 1600 E Riverview, Napoleon, OH 43545-9399
George J Moussally Nurse Practitioner Hospital Care Group PC 700 Broadway, Fort Wayne, IN 46802-1493
Calvert B Wait Internal Medicine Hospital Care Group PC 700 Broadway, Fort Wayne, IN 46802-1493
Ranbir Singh Internal Medicine Hospital Care Group PC 303 S Main St, Bluffton, IN 46714-2503
Candace J Nicholas Nurse Practitioner Hospital Care Group PC 2520 E Dupont Rd, Fort Wayne, IN 46825-1675
Niroshan Kirupananthan Internal Medicine Hospital Care Group PC 700 Broadway, Fort Wayne, IN 46802-1493
Khurrum A Shaikh Internal Medicine Hospital Care Group PC 2520 E Dupont Rd, Fort Wayne, IN 46825-1675
Patrick J Wise Internal Medicine Hospital Care Group PC 2520 E Dupont Rd, Fort Wayne, IN 46825-1675
Mandy D. Onguta Nurse Practitioner Hospital Care Group PC 700 Broadway, Fort Wayne, IN 46802-1493

Office Location

Street Address 700 BROADWAY
City FORT WAYNE
State IN
Zip 46802-1493

Physicians in the same location

Name Specialty Organization Address
Nikkiya Fraser Infectious Disease Lutheran Medical Group LLC 700 Broadway, Fort Wayne, IN 46802-1402
George J Moussally Nurse Practitioner Hospital Care Group PC 700 Broadway, Fort Wayne, IN 46802-1493
Tara J Little Nurse Practitioner Associated Surgeons and Physicians LLC 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402
Calvert B Wait Internal Medicine Hospital Care Group PC 700 Broadway, Fort Wayne, IN 46802-1493
Debra K Brandenberger Nurse Practitioner Associated Surgeons and Physicians LLC 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402
Melissa K Gephart Nurse Practitioner Lutheran Medical Group LLC 700 Broadway, Fort Wayne, IN 46802-1402
April Renee Morrison Infectious Disease Lutheran Medical Group LLC 700 Broadway, Fort Wayne, IN 46802-1402
Dedrick K. Bowe Pulmonary Disease Lutheran Medical Group LLC 700 Broadway, Fort Wayne, IN 46802-1402
Maryann Meo General Surgery Lutheran Medical Group LLC 700 Broadway, Fort Wayne, IN 46802-1402
Carrie B Price Nurse Practitioner Associated Surgeons and Physicians LLC 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402
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Physicians in the same zip code

Name Specialty Organization Address
William A Wood Plastic and Reconstructive Surgery Lutheran Medical Group LLC 700 Broadway, Fort Wayne, IN 46802-1402
Glenn Alan Glogas Undersea and Hyperbaric Medicine Associated Surgeons and Physicians LLC 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402
Darnell J Brown Plastic and Reconstructive Surgery Lutheran Medical Group LLC 700 Broadway, Fort Wayne, IN 46802-1402
Thomas A Kintanar Family Medicine Lutheran Medical Group LLC 700 Broadway, Fort Wayne, IN 46802-1402
Patrick M Holly Family Medicine Lutheran Medical Group LLC 700 Broadway, Fort Wayne, IN 46802-1402
Philip A Rettenmaier Undersea and Hyperbaric Medicine Associated Surgeons and Physicians LLC 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402
Eamon B O'reilly Plastic and Reconstructive Surgery Lutheran Medical Group LLC 700 Broadway, Fort Wayne, IN 46802-1402
Yan Tomas Ortiz-pomales General Surgery Lutheran Medical Group LLC 700 Broadway, Fort Wayne, IN 46802-1402
Gordon Lindberg General Surgery St Joseph Medical Group Inc 700 Broadway, Fort Wayne, IN 46802-1402
Douglas E Sawyer Family Medicine Fort Wayne Medical Education Program 750 Broadway, Suite 350, Fort Wayne, IN 46802-1412
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Competitor

Search similar physicians

City FORT WAYNE
Zip Code 46802
Specialty INTERNAL MEDICINE
City + Specialty FORT WAYNE + INTERNAL MEDICINE

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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