William S Mirando
WILLIAM S. MIRANDO, MD, LLC


Address: 2885 N Ridge Rd E, Ashtabula, OH 44004-4134
Phone: 4409983376

William S Mirando (NPI# 1386622942, PAC ID# 9133017395) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.

Physician Overview

Nation Provider ID (NPI) 1386622942
PAC ID by PECOS 9133017395
Professional Enrollment ID I20041222000043
Full Name William S Mirando
Organization Legal Name WILLIAM S. MIRANDO, MD, LLC
Address 2885 N Ridge Rd E
Ashtabula
OH 44004-4134
Phone Number 4409983376
Gender M
Credential MD
Medical School CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1989
Primary Specialty DERMATOLOGY
Group Practice PAC ID 9335037597
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
201 N Leavitt Rd, Amherst, OH 44001-1124 4409853376 WILLIAM S. MIRANDO, MD, LLC
2885 N Ridge Rd E, Ashtabula, OH 44004-4134 4409983376 WILLIAM S. MIRANDO, MD, LLC

Organization Information

Organization Legal Name WILLIAM S. MIRANDO, MD, LLC
Physicians 1

Office Location

Street Address 2885 N RIDGE RD E
City ASHTABULA
State OH
Zip 44004-4134

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Robyn Lynn Keaton Nurse Practitioner Tridentusa Mobile Clinical Services LLC 2217 W Ave, Ashtabula, OH 44004-3107
Caitlin Marie Imhoff Nurse Practitioner Tridentusa Mobile Clinical Services LLC 2217 W Ave, Ashtabula, OH 44004-3107
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Competitor

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City ASHTABULA
Zip Code 44004
Specialty DERMATOLOGY
City + Specialty ASHTABULA + DERMATOLOGY

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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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