Denise M. Mirando, MD, Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

35064555 Issued in OH

Legal business name

DENISE M. MIRANDO, MD, INC

Practice address

2422 Lake Ave
3Rd Floor
Ashtabula, OH 44004-4985

Phone

(440) 997-4733

Fax

(440) 997-5751

NPI assigned

Mar 13, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Faith M White

Title

Office Manager

Phone

(440) 998-3376

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1356512776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 LAKE AVE",
            "address_2": "3RD FLOOR",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044985",
            "telephone_number": "440-997-4733",
            "fax_number": "440-997-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 LAKE AVE",
            "address_2": "3RD FLOOR",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044985",
            "telephone_number": "440-997-4733",
            "fax_number": "440-997-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE M. MIRANDO, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "440-998-3376",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "35064555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2030528",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay Delmonico
• Megan Louise Delvalle, LPN
• Marissa Demarco
• Heather Denihan
• Jamiee Denihan
• Jamel Ardazan Dennis
• Mika Norma Destasio
• Helen Detore
• Mark Devito, HOME HLTH CARE PROV
• Kelley Dew

• Medical Specialty Clinic/Center in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Medical Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.