Active NPI
Fernando T Miranda, MD
- Medical Oncology Physician
- Nashville, TN
National Provider Identifier
1346278165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 11379
- Practice address
- 3443 Dickerson Pike
Ste 760
Nashville, TN 37207-2519 - Phone
- (615) 860-1556
- Fax
- (615) 860-1558
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 11379 | TN | Primary |
Addresses
Primary practice location
3443 Dickerson Pike
Ste 760
Nashville, TN 37207-2519
Mailing address
PO Box 440100
Nashville, TN 37244-0100
Phone (615) 329-0570
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3174409 | Medicaid | TN | |
| 4082067 | Other | AETNA | |
| 64923212 | Medicaid | KY | |
| 3640063 | Other | UNITED HEALTHCARE | |
| 830002155 | Other | RAILROAD MEDICARE | |
| 0015731 | Other | BCBS OF TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11379 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327363200000",
"number": "1346278165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 440100",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372440100",
"telephone_number": "615-329-0570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3443 DICKERSON PIKE",
"address_2": "STE 760",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372072519",
"telephone_number": "615-860-1556",
"fax_number": "615-860-1558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "FERNANDO",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2012-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "TN",
"license": "11379",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3174409",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4082067",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64923212",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "3640063",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "830002155",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "0015731",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.