Thomas De Miranda (NPI# 1689866725, PAC ID# 4981735636) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1689866725 |
| PAC ID by PECOS | 4981735636 |
| Professional Enrollment ID | I20100624000874 |
| Full Name | Thomas De Miranda |
| Organization Legal Name | NORTHWEST PHYSICIANS LLC |
| Address |
2158 Butterfield Coach Rd Springdale AR 72764-9142 |
| Phone Number | 4797575026 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0244213213 |
| Number of Group Practice Members | 54 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040022 | NORTHWEST MEDICAL CENTER-SPRINGDALE |
| Address | Phone | Organization |
|---|---|---|
| 2158 Butterfield Coach Rd, Springdale, AR 72764-9142 | 4797575026 | NORTHWEST PHYSICIANS LLC |
| Organization Legal Name | NORTHWEST PHYSICIANS LLC |
| Physicians | 67 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emilia Wobga-pasiah | Family Medicine | Northwest Physicians LLC | 2158 Butterfield Coach Rd, Springdale, AR 72764-9142 |
| James Robert Feher | Nurse Practitioner | Northwest Physicians LLC | 601 W Maple Ave, Springdale, AR 72764-5374 |
| Kris Honey | Occupational Therapy | Northwest Physicians LLC | 2422 N Thompson St A, Springdale, AR 72764-1773 |
| Heron B Martin | Nurse Practitioner | Northwest Physicians LLC | 3057 Springdale Ave, Springdale, AR 72762-4346 |
| Dorothee S Mecum | Psychiatry | Northwest Physicians LLC | 601 W Maple, Suite 101, Springdale, AR 72764-5370 |
| Serena Michelle Pierson | Obstetrics/gynecology | Northwest Physicians LLC | 4301 Greathouse Springs Rd, Springdale, AR 72762-8701 |
| Matthew R. Patoka | Family Medicine | Northwest Physicians LLC | 4077 Elm Springs Rd, Springdale, AR 72762-3748 |
| Larry D Coker | Family Medicine | Northwest Physicians LLC | 3399 Black Forest Dr, Suite 2, Fayetteville, AR 72704-6541 |
| Adam Baird Mccall | Family Medicine | Northwest Physicians LLC | 5501 Willow Creek Dr, Springdale, AR 72762-8707 |
| Leann W Metheny | Nurse Practitioner | Northwest Physicians LLC | 212 W Monroe Ave, Suite A, Lowell, AR 72745-9451 |
| Street Address |
2158 BUTTERFIELD COACH RD |
| City | SPRINGDALE |
| State | AR |
| Zip | 72764-9142 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emilia Wobga-pasiah | Family Medicine | Northwest Physicians LLC | 2158 Butterfield Coach Rd, Springdale, AR 72764-9142 |
| Leticia C Barksdale | Family Medicine | Northwest Physicians LLC | 2158 Butterfield Coach Rd, Springdale, AR 72764-9142 |
| Yves-mary Nazaire | Family Medicine | Northwest Physicians LLC | 2158 Butterfield Coach Rd, Springdale, AR 72764-9142 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kris Honey | Occupational Therapy | Northwest Physicians LLC | 2422 N Thompson St A, Springdale, AR 72764-1773 |
| Maryalice Apn Kelly | Nurse Practitioner | Northwest Physicians LLC | 2422 N Thompson St, Suite A, Springdale, AR 72764-1773 |
| Shenandoah L Ware | Physical Therapy | Northwest Physicians LLC | 2422 N Thompson St A, Springdale, AR 72764-1773 |
| Amy B Peeples | Clinical Social Worker | Deer Oaks Arkansas, LLC | 2455 N Lowell Rd, Springdale, AR 72764-1844 |
| Carolyn S Williamson | Clinical Social Worker | Deer Oaks Arkansas, LLC | 2455 N Lowell Rd, Springdale, AR 72764-1844 |
| Arlene A Darick | Clinical Social Worker | Deer Oaks Arkansas, LLC | 2455 N Lowell Rd, Springdale, AR 72764-1844 |
| Brittany S Seifert | Nurse Practitioner | Medical Associates of Northwest Arkansas, Pa | 4700 S Thompson St, Suite C103, Springdale, AR 72764-2558 |
| Lance C Foster | Psychiatry | Medical Associates of Northwest Arkansas, Pa | 4700 S Thompson St, Suite C103, Springdale, AR 72764-2558 |
| Yvonne Paulette Couch | Nurse Practitioner | St. Francis House Nwa, Inc. | 420 N W End St, Elmdale School Based Health Center, Springdale, AR 72764-3002 |
| William M Rogers | Family Medicine | Washington Regional Medical System | 513 N Shiloh St, Shiloh Clinic Washington Regional, Springdale, AR 72764-3343 |
| Find all physicians in zip 72764 | |||
| City | SPRINGDALE |
| Zip Code | 72764 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SPRINGDALE + FAMILY 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.