Michael S Miranda (NPI# 1699738195, PAC ID# 7911945506) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1699738195 |
| PAC ID by PECOS | 7911945506 |
| Professional Enrollment ID | I20050423000082 |
| Full Name | Michael S Miranda |
| Organization Legal Name | MERCY HOSPITAL BOONEVILLE |
| Address |
880 W Main St Booneville AR 72927-3443 |
| Phone Number | 4796752800 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1951530385 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 041318 | MERCY HOSPITAL BOONEVILLE |
| 040062 | MERCY HOSPITAL FORT SMITH |
| 041305 | MERCY HOSPITAL WALDRON |
| 040055 | SPARKS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 880 W Main St, Booneville, AR 72927-3443 | 4796752800 | MERCY HOSPITAL BOONEVILLE |
| Organization Legal Name | MERCY HOSPITAL BOONEVILLE |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenda Marie King | Nurse Practitioner | Mercy Hospital Booneville | 128 Daniel Dr, Booneville, AR 72927-4055 |
| Patricio Jose Montiel Ii | Family Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Julie E Greek | Nurse Practitioner | Mercy Hospital Booneville | 351 E Priddy St, Mercy Family Med Magazine, Magazine, AR 72943-8503 |
| Henry K Upchurch Jr. | Emergency Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Chiricka E Orisakwe | Emergency Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Kelli L Rippy | Family Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Richard E Daily | Emergency Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Street Address |
880 W MAIN ST |
| City | BOONEVILLE |
| State | AR |
| Zip | 72927-3443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricio Jose Montiel Ii | Family Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Henry K Upchurch Jr. | Emergency Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Zachary T Tippin | Family Medicine | Arkansas Emergency Staffing Solutions Inc | 880 W Main St, Booneville, AR 72927-3443 |
| Chiricka E Orisakwe | Emergency Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Lucreasie R Lewis | Nurse Practitioner | Kentucky River District Health Department | 880 W Main St, Hindman, KY 41822-8004 |
| Kelli L Rippy | Family Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Richard E Daily | Emergency Medicine | Mercy Hospital Booneville | 880 W Main St, Booneville, AR 72927-3443 |
| Dane J Myers | Podiatry | 880 W Main St, Booneville, AR 72927-3443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James A Hale | Chiropractic | 181 W 6th St, Booneville, AR 72927-0597 | |
| Anthony Vincent Ciaramitaro | Nurse Practitioner | Access Medical Clinic Arkansas LLC | 871 W Main St, Booneville, AR 72927-3420 |
| Syed I Hamid | Internal Medicine | Mercy Clinic Fort Smith Communities | 880 W Main, Booneville, AR 72927-3443 |
| Glenda Marie King | Nurse Practitioner | Mercy Hospital Booneville | 128 Daniel Dr, Booneville, AR 72927-4055 |
| Donna M Hunter | Clinical Social Worker | Global Therapy, Inc | 2 A Village Loop, Booneville, AR 72927-4133 |
| Billy Noel | Nurse Practitioner | 1069 S Sharpe Ave, Booneville, AR 72927-4683 | |
| Ricky D Ray | Optometry | 2 Riviera, Booneville, AR 72927-5312 |
| City | BOONEVILLE |
| Zip Code | 72927 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BOONEVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael S Miranda.
| 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.