Diego E Miron (NPI# 1497821854, PAC ID# 5193829455) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1497821854 |
| PAC ID by PECOS | 5193829455 |
| Professional Enrollment ID | I20070327000539 |
| Full Name | Diego E Miron |
| Organization Legal Name | CAPITAL DISTRICT ORAL AND MAXILLOFACIAL SURGEONS LLC |
| Address |
11 Century Hill Dr Latham NY 12110-2151 |
| Phone Number | 5187831193 |
| Gender | M |
| Credential | DDS |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | ORAL SURGERY |
| Group Practice PAC ID | 8628008554 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7 Southwoods Blvd, Albany, NY 12211-2526 | 5184452505 | CAPITAL DISTRICT ORAL AND MAXILLOFACIAL SURGEONS LLC |
| 11 Century Hill Dr, Latham, NY 12110-2151 | 5187831193 | CAPITAL DISTRICT ORAL AND MAXILLOFACIAL SURGEONS LLC |
| Organization Legal Name | CAPITAL DISTRICT ORAL AND MAXILLOFACIAL SURGEONS LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy Adams | Oral Surgery | Capital District Oral and Maxillofacial Surgeons LLC | 11 Century Hill Dr, Latham, NY 12110-2151 |
| Stephen J Demarco | Maxillofacial Surgery | Capital District Oral and Maxillofacial Surgeons LLC | 11 Century Hill Dr, Latham, NY 12110-2151 |
| Luis R Delgado | Oral Surgery | Capital District Oral and Maxillofacial Surgeons LLC | 11 Century Hill Dr, Latham, NY 12110-2151 |
| Gerald J Beck | Maxillofacial Surgery | Capital District Oral and Maxillofacial Surgeons LLC | 11 Century Hill Dr, Latham, NY 12110-2151 |
| Street Address |
11 CENTURY HILL DR |
| City | LATHAM |
| State | NY |
| Zip | 12110-2151 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ketaki K Nagarkar | Physical Therapy | 11 Century Hill Dr, Suite 104, Latham, NY 12110-2151 | |
| Timothy Adams | Oral Surgery | Capital District Oral and Maxillofacial Surgeons LLC | 11 Century Hill Dr, Latham, NY 12110-2151 |
| Stephen J Demarco | Maxillofacial Surgery | Capital District Oral and Maxillofacial Surgeons LLC | 11 Century Hill Dr, Latham, NY 12110-2151 |
| Luis R Delgado | Oral Surgery | Capital District Oral and Maxillofacial Surgeons LLC | 11 Century Hill Dr, Latham, NY 12110-2151 |
| Gerald J Beck | Maxillofacial Surgery | Capital District Oral and Maxillofacial Surgeons LLC | 11 Century Hill Dr, Latham, NY 12110-2151 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joanne Fogarty | Internal Medicine | 564 Loudon Rd, Latham, NY 12110 | |
| Robert Califano | Podiatry | 713 Troy Rd, Suite 222, Latham, NY 12110 | |
| Keith R Edwards | Neurology | Empire Neurology, PC | 1182 Troy Schenectady Rd, Suite 203, Latham, NY 12110-1000 |
| Thomas J Lovely | Neurosurgery | St Peters Hospital of The City of Albany | 1182 Troy Schenectady Rd, Suite 100, Latham, NY 12110-1000 |
| John F Morrison | Neurosurgery | St Peters Hospital of The City of Albany | 1182 Troy Schenectady Rd, Suite 100, Latham, NY 12110-1000 |
| Thomas M Mccormack | Neurosurgery | St Peters Hospital of The City of Albany | 1182 Troy Schenectady Rd, Suite 100, Latham, NY 12110-1000 |
| Penny S Bruso | Nurse Practitioner | Empire Neurology, PC | 1182 Troy Schenectady Rd, Suite 203, Latham, NY 12110-1000 |
| Taylor L Mcgrath | Physician Assistant | St Peters Hospital of The City of Albany | 1182 Troy Schenectady Rd, Suite 100, Latham, NY 12110-1000 |
| Craig Goldberg | Neurology | St Peters Hospital of The City of Albany | 1182 Troy Schenectady Rd, Suite 100, Latham, NY 12110-1000 |
| Brian M Gordon | Orthopedic Surgery | St Peters Hospital of The City of Albany | 1182 Troy Schenectady Rd, Suite 100, Latham, NY 12110-1000 |
| Find all physicians in zip 12110 | |||
| City | LATHAM |
| Zip Code | 12110 |
| Specialty | ORAL SURGERY |
| City + Specialty | LATHAM + ORAL SURGERY |
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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.