Egbert Miranda Mdpa

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

EGBERT MIRANDA MDPA

Practice address

5866 S Staples St
Ste. 403
Corpus Christi, TX 78413-3700

Phone

(361) 991-5520

Fax

(361) 991-5521

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Egbert Miranda, MDNPI 1093785230

Title

Owner

Phone

(361) 991-5520

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Egbert Miranda Mdpa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Egbert Miranda M.D. P.a.

  • Endocrinology, Diabetes & Metabolism Physician
  • Corpus Christi, TX
  • NPI 1629365820
  NPD tax ID

Locations

Practitioners 1

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

• Egbert Miranda, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Corpus Christi, TX
  • NPI 1093785230
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1366537201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5866 S STAPLES ST",
            "address_2": "STE. 403",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133700",
            "telephone_number": "361-991-5520",
            "fax_number": "361-991-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5866 S STAPLES ST",
            "address_2": "STE. 403",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133700",
            "telephone_number": "361-991-5520",
            "fax_number": "361-991-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EGBERT MIRANDA MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "EGBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-991-5520",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "00F33D",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153788-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sacha Edwards, NP-C
• Thomas W Edwards, M.D.
• Dina F Eftimescu, MD
• Eg Consulting LLP
• Egbert Miranda M.D. P.a.
• Scott Robert Eger, MS, CPS, LPC
• Uwarobosa Ehiozuwa, MD
• Christian P Ehrhard, P.A.
• Mary Christine Ehrmin, MSW
• Heather Nicole Eiben

• Endocrinology, Diabetes & Metabolism Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Endocrinology, Diabetes & Metabolism Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.