Miranda Medical, PLLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

M-9799 Issued in ID

Legal business name

MIRANDA MEDICAL, PLLC

Practice address

706 N College Rd
Suite a
Twin Falls, ID 83301-5824

Phone

(208) 736-8006

Fax

(208) 329-7159

NPI assigned

Apr 20, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. A Richard Miranda, M.D.NPI 1669565669

Title

Ceo

Phone

(208) 420-1319

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• A. Richard Miranda, MD

  • Hematology & Oncology Physician
  • Twin Falls, ID
  • NPI 1669565669
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1053765545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5498",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833035498",
            "telephone_number": "208-736-8006",
            "fax_number": "208-329-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 N COLLEGE RD",
            "address_2": "SUITE A",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015824",
            "telephone_number": "208-736-8006",
            "fax_number": "208-329-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRANDA MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "A RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-420-1319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "ID",
            "license": "M-9799",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OR",
            "license": "MD151354",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Miloser, MS, CCC-SLP
• Carla Sue Mingo, MS CCC-SLP
• Michael Chase Mings
• Mint Dental Care PLLC
• Ravae Minton, MSW, LCSW
• A. Richard Miranda, MD
• Cortney R Mitchell, AUD,BS,AA
• Rosemary L Mitchell, LMSW
• Lisa A Mitton, LCSW
• Maverick Mitton, FNP-C

• Hematology & Oncology Physician in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Hematology & Oncology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.