Miranda Hollen, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R1448 Issued in KY

Practice address

750 Morton Blvd
Hazard, KY 41701-9469

Phone

(606) 439-1559

NPI assigned

May 17, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Kentucky College of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Central Physicians PLLCGroup PAC ID 6507195492, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• AdventHealthManchester Hospital, Manchester, KY, CCN 180043

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mhollen659523@adventhealth.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Central Physicians PLLC

  • Hospitalist Physician
  • Lubbock, TX
  • NPI 1427611854

  KY

  Medicare reassignment Care Compare group NPD
• Memorial Hospital, Inc.

  • Rural Acute Care Hospital
  • Manchester, KY
  • NPI 1811922347
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Hospital, Inc.

  • Rural Acute Care Hospital
  • Manchester, KY
  • NPI 1811922347
  Care Compare affiliation

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

{
    "created_epoch": "1210982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210982400000",
    "number": "1437316528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MORTON BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019469",
            "telephone_number": "606-439-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MORTON BLVD",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019469",
            "telephone_number": "606-439-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEN",
        "first_name": "MIRANDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-17",
        "last_updated": "2008-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "R1448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Higher Ground Services, Inc.
• Allison Holbrook
• Cecelia Holbrook
• John Holder Jr.
• Karen Holland
• Laura Holliday-Ritchie, LPCC
• Kendra Elaine Holliday
• Daniel Holt, D.O.
• John Sherman Holyfield III, PHARM.D
• Hometown Pharmacy of Hazard LLC

• Family Medicine Physician in Hazard, KY
• Providers in Hazard, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.