Active NPI
Hernan E Miranda, MD
- Internal Medicine Physician
- Amarillo, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- N0984
- Practice address
- 1215 S Coulter St
Suite 104
Amarillo, TX 79106-1758 - Phone
- (806) 350-7355
- Fax
- (806) 350-7362
- NPI assigned
- Sep 7, 2005
- Last updated
- Mar 15, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | N0984 | TX | Primary |
Addresses
Primary practice location
1215 S Coulter St
Suite 104
Amarillo, TX 79106-1758
Mailing address
1215 S Coulter St
Suite 104
Amarillo, TX 79106-1758
Phone (806) 350-7355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group PLLC | Current | Accepting new patients | |
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current | Accepting new patients | |
| Grove Inpatient Services | Internal Medicine | Past | Accepting new patients |
| Executive Health Resources Clinical Staffing Solutions PC | Internal Medicine | Past | Accepting new patients |
| Upshur Emergency Medicine Associates PA | Past | Accepting new patients | |
| East Texas Medical Center-Gilmer | Past | Accepting new patients | |
| Wood Emergency Medicine Associates PA | Past | Accepting new patients | |
| Clinical Staffing Solutions P.C. | Internal Medicine | Past | Accepting new patients |
| East Texas Medical Center Gilmer | Past | Accepting new patients | |
| Virtua Medical Group, PA | Internal Medicine | Past | Accepting new patients |
| Hera Inpatient Services | Internal Medicine | Past | Accepting new patients |
| Atlantic Professional Services of Rhode Island Incorporated | Past | Accepting new patients |
Locations
516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891
305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1083630610
-
- General Acute Care Hospital
- Gallup, NM
- NPI 1225002322
TX
-
- Family Medicine Physician
- El Paso, TX
- NPI 1043287287
-
- Internal Medicine Physician
- Amarillo, TX
- NPI 1851752158
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Rural Health Clinic/Center
- Daingerfield, TX
- NPI 1619124658
-
- General Acute Care Hospital
- Gilmer, TX
- NPI 1295719227
-
- Emergency Medicine Physician
- Gilmer, TX
- NPI 1275569436
-
- Emergency Medicine Physician
- Quitman, TX
- NPI 1427067560
-
- Hospitalist Physician
- Wakefield, RI
- NPI 1922036946
-
- Internal Medicine Physician
- Newtown Square, PA
- NPI 1487684114
-
- Internal Medicine Physician
- Newtown Square, PA
- NPI 1225067424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458000000000",
"number": "1477547339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 S COULTER ST",
"address_2": "SUITE 104",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061758",
"telephone_number": "806-350-7355",
"fax_number": "806-350-7362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 S COULTER ST",
"address_2": "SUITE 104",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061758",
"telephone_number": "806-350-7355",
"fax_number": "806-350-7362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "HERNAN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2016-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N0984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
- Minam Dialysis LLC (Amarillo Dialysis)
- Mindfulness With Murphy
- Carra Louise Minster, COTA
- Jacob Lee Minter
- Ginnie Paula-Marie Miranda, PT, DPT
- Rosa Miranda, RN MSN APRN FNP-C
- Mitchell D. Watson in Motion Physical Therapy
- Michelle Dianne Mitchell-Robbins, LPC
- Berkley Mitchell, MS, CCC-SLP
- Holly Mitchell, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.