Miriam Medical Clinics Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MIRIAM MEDICAL CLINICS INC

Practice address

2006 Tasker St
Philadelphia, PA 19145-1432

Phone

(215) 644-8745

Fax

(215) 644-8713

NPI assigned

Aug 11, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra Kay Johnson, M.B.A.

Title

Cfo

Phone

(215) 644-8745

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Jessica Jean-Burton, RDH, PHDHP, MPA

  • Dental Hygienist
  • Philadelphia, PA
  • NPI 1982324125
  NPD

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1225447592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 TASKER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191451432",
            "telephone_number": "215-644-8745",
            "fax_number": "215-644-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 TASKER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191451432",
            "telephone_number": "215-644-8745",
            "fax_number": "215-644-8713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1237 Spring Garden St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191233469",
            "country_code": "US",
            "telephone_number": "215-644-8745",
            "fax_number": "215-644-8713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIRIAM MEDICAL CLINICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "215-644-8745",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ila H Mirchaudani, MD
• Amytice Mirchi, M.D.
• Danielle E Mirda, MD
• Seyedalireza Mirghasemi
• Asal Mirhadizadeh, DMD, DDS
• Mischa P. Mirin, MD
• Benjamin Miron, MD
• Yuan Yuan Mirow, M.D.
• Manal Mirreh, MD
• Joseph A Mirtaj, DMD

• Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.