Constantino Diaz Miranda, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

TN021298 Issued in TN

Practice address

435 2ND Street
Newport, TN 37821-3703

Phone

(423) 625-2200

NPI assigned

Mar 1, 2006

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• App of Tennessee Ed, PLLC

  • Emergency Medicine Physician
  • Maryville, TN
  • NPI 1003230236

  Emergency Medicine, TN

  Medicare reassignment NPD
• Emergency Coverage, LLC

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  Emergency Medicine, TN

  Medicare reassignment NPD
• Tri-Cities Regional Emergency Physicians, PC

  • Emergency Medicine Physician
  • Johnson City, TN
  • NPI 1063950046

  Emergency Medicine, TN

  Medicare reassignment NPD
• Wellmont Medical Associates Inc

  • Pulmonary Disease Physician
  • Kingsport, TN
  • NPI 1780986257

  TN

  Medicare reassignment NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  Emergency Medicine, TN

  Medicare reassignment NPD
• Wellmont Medical Associates, Inc.

  • Internal Medicine Physician
  • Johnson City, TN
  • NPI 1154789030
  NPD
• Wellmont Medical Associates, Inc.

  • Psychiatry Physician
  • Johnson City, TN
  • NPI 1275393522
  NPD
• Johnson City Emergency Physicians, PC

  • Emergency Medicine Physician
  • Johnson City, TN
  • NPI 1376557348

  Emergency Medicine

  NPD (past)

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 21, 2012.

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1093782963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30707",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379300707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 2ND STREET",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213703",
            "telephone_number": "423-625-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ MIRANDA",
        "first_name": "CONSTANTINO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "TN021298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hazel Charlene Davis, CRNA
• Murrell Anthony Dawson, PHARMD
• Mandi Faye Deitz, PH.D.
• Christopher Brent Delph, PMHNP-BC
• Chris Dewitt, PHARMD
• Brittany D Dixon, FNP
• Bojidar Dolaptchiev, M.D.
• Terry Horton Dover, DPH.
• Drayer Physical Therapy of Tennessee LLC
• Justin Ryan Drey, MA

• All providers in Newport, TN
• Emergency Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.