Miranda Medical PLLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

MD151354 Issued in OR

Legal business name

MIRANDA MEDICAL PLLC

Practice address

94220 4TH St
Gold Beach, OR 97444-7756

Phone

(208) 420-1319

Fax

(702) 453-5741

NPI assigned

Nov 7, 2013

Organization subpart

No

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

Authorized official

Name

A Richard Miranda, M.D.

Title

Owner

Phone

(208) 420-1319

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1144659327",
    "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": "208-420-1319",
            "fax_number": "702-453-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94220 4TH ST",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974447756",
            "telephone_number": "208-420-1319",
            "fax_number": "702-453-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRANDA MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-420-1319",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OR",
            "license": "MD151354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agnieszka Mglej Kemp
• Michael O'Gara
• Barbara Michaelis, MD
• Laura Middleton, CD(DONA)
• Kay Minkler
• Mishelle Anne Moffett, RN
• Elissa Ann Moore, DNP, RN, FNP-BC
• Patrick Mitchell Moreno
• Leah N Morris, CRNA
• Cynthia Jean Nerio, LMFT

• Hematology & Oncology Physician in Gold Beach, OR
• Providers in Gold Beach, OR by specialty
• Hematology & Oncology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.