Hernan E Miranda, MD
Individual provider Active NPI Internal Medicine Physician · Amarillo, TX
NPI 1477547339 · NPPES record last updated Mar 15, 2016
Key facts
- NPI
- 1477547339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- N0984 (TX)
- 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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 14
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081101000101 | TX | Practitioner - Internal Medicine |
7719945633 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group PLLC | Current |
Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current |
Accepting new patients | |
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current |
Accepting new patients | |
| Wood Emergency Medicine Associates PA | Past | Accepting new patients | |
| Grove Inpatient Services | Internal Medicine | Past | Accepting new patients |
| East Texas Medical Center-Gilmer | Past | Accepting new patients | |
| Upshur Emergency Medicine Associates PA | Past | Accepting new patients | |
| Atlantic Professional Services of Rhode Island Incorporated | Past | Accepting new patients | |
| Clinical Staffing Solutions P.C. | Internal Medicine | Past | Accepting new patients |
| Hera Inpatient Services | Internal Medicine | Past | Accepting new patients |
| Executive Health Resources Clinical Staffing Solutions PC | 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 |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | N0984 | TX | Yes |
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
Other providers in Amarillo, TX
- Dierk Milum
- Minam Dialysis LLC
- Carra Louise Minster
- Jacob Lee Minter
- Ginnie Paula-Marie Miranda
- Rosa Miranda
- Mitchell D. Watson in Motion Physical Therapy
- Michelle Dianne Mitchell-Robbins
- Berkley Mitchell
- Holly Mitchell
All providers in Amarillo, TX · Internal Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.