Dion G Miranda (NPI# 1972751097, PAC ID# 4082772157) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1972751097 |
| PAC ID by PECOS | 4082772157 |
| Professional Enrollment ID | I20081017000267 |
| Full Name | Dion G Miranda |
| Organization Legal Name | AMERICAN MULTISPECIALTY GROUP INC |
| Address |
2137 Charbonier Rd Suite B Florissant MO 63031-5500 |
| Phone Number | 3148310181 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1658365572 |
| Number of Group Practice Members | 148 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260191 | BARNES-JEWISH ST PETERS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2137 Charbonier Rd, Suite B, Florissant, MO 63031-5500 | 3148310181 | AMERICAN MULTISPECIALTY GROUP INC |
| 13303 Tesson Ferry Rd, Saint Louis, MO 63128-4062 | AMERICAN MULTISPECIALTY GROUP INC | |
| 5034 Griffin Rd, Saint Louis, MO 63128-3418 | 3148437333 | AMERICAN MULTISPECIALTY GROUP INC |
| Organization Legal Name | AMERICAN MULTISPECIALTY GROUP INC |
| Physicians | 152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Rice Fick | Internal Medicine | American Multispecialty Group Inc | 1551 Wall St, Suite 400, Saint Charles, MO 63303-3541 |
| Rachel A Sappington | Nurse Practitioner | American Multispecialty Group Inc | 4800 Mexico Rd, Suite 102, Saint Peters, MO 63376-1666 |
| Danielle J Moore | Nurse Practitioner | American Multispecialty Group Inc | 3409 Union Blvd, Saint Louis, MO 63115-1127 |
| John T English | Internal Medicine | American Multispecialty Group Inc | 4 Park Pl, Swansea, IL 62226-2965 |
| Erin E Sandoz | Registered Dietitian Or Nutrition Professional | American Multispecialty Group Inc | 637 Dunn Rd, Hazelwood, MO 63042-1759 |
| Gaylin R Manion | Nurse Practitioner | American Multispecialty Group Inc | 1167 Fortune Blvd, Shiloh, IL 62269-7377 |
| Alisia M Schmidt | Physician Assistant | American Multispecialty Group Inc | 2900 W Frank Scott Pkwy, Suite 914, Belleville, IL 62223-5000 |
| Julie A Rubin | Nurse Practitioner | American Multispecialty Group Inc | 1031 Bellevue Ave, Saint Louis, MO 63117-1857 |
| Craig S Holzem | Family Medicine | American Multispecialty Group Inc | 1721 Heritage Hills Dr, Washington, MO 63090-4621 |
| Radha V Patnana | Family Medicine | American Multispecialty Group Inc | 7419 Watson Rd, Saint Louis, MO 63119-4415 |
| Street Address |
2137 CHARBONIER RD SUITE B |
| City | FLORISSANT |
| State | MO |
| Zip | 63031-5500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Knapp | Internal Medicine | American Multispecialty Group Inc | 2137 Charbonier Rd, Suite B, Florissant, MO 63031-5500 |
| Elizabeth A. Gordon | Nurse Practitioner | American Multispecialty Group Inc | 2137 Charbonier Rd, Suite B, Florissant, MO 63031-5500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank R Danna Jr. | Clinical Social Worker | Deer Oaks Mental Health Associates PC | 250 New Florissant Rd S, Crystal Creek Nursing and Rehabilition Center, Florissant, MO 63031 |
| Deborah Lynn Tannenbaum | Clinical Social Worker | Deer Oaks Mental Health Associates PC | 615 Rancho Ln, Florissant, MO 63031-1717 |
| Elizabeth A Allen | Clinical Social Worker | 1104 Liberty Gardens Ct, Florissant, MO 63031-1948 | |
| Charles M Lutz | Optometry | Nu-crown, LLC | 935 N Hwy 67 N, Florissant, MO 63031-2917 |
| Joseph A Bendet | Certified Registered Nurse Anesthetist (crna) | 900 N Hwy 67, Florissant, MO 63031-2919 | |
| Mark J Reddan | Optometry | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Julie M Sturm | Ophthalmology | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Thomas Eric Stickel | Optometry | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Daniel J Watson | Ophthalmology | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| John P Goltschman | Ophthalmology | Eye Center Inc | 900 N Us Hwy 67, Florissant, MO 63031-2919 |
| Find all physicians in zip 63031 | |||
| City | FLORISSANT |
| Zip Code | 63031 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FLORISSANT + INTERNAL MEDICINE |
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| 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.