NPIMap

Individual provider Active NPI

Miranda McGhee, MD

  • Infectious Disease Physician
  • Oklahoma City, OK
National Provider Identifier
1538547336
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
31584 Issued in OK
Practice address
4221 S Western Ave Ste 4010
Oklahoma City, OK 73109-3492
Phone
(405) 644-6464
NPI assigned
May 12, 2015
Last updated
Jul 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Infectious Disease Physician 207RI0200X 31584 OK Primary

Addresses

Primary practice location

4221 S Western Ave Ste 4010
Oklahoma City, OK 73109-3492

Mailing address

4221 S Western Ave Ste 4010
Oklahoma City, OK 73109-3492
Phone (405) 644-6464

Other practice location 1

920 Stanton L Young Blvd
WP 1130
Oklahoma City, OK 73104-5036
Phone (405) 271-5963

Other names 1

  • Miranda Josey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210722000161 OK Practitioner - Infectious Disease 5799075206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
University of Oklahoma College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Idcokc PLLCGroup PAC ID 0749631745, 4 clinicians

Practice addresses (Care Compare)

4221 S Western Ave
Suite 4010
Oklahoma City, OK 73109-3492
Phone (405) 644-6464

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31584OKMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David H Chansolme MD PC Infectious Disease CurrentSince Aug 1, 2021 Accepting new patients
Idcokc PLLC Infectious Disease CurrentSince Oct 1, 2023 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

4221 S Western Ave
Ste 4010
Oklahoma City, OK 73109
Phone (405) 631-3435

5500 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 605-4140

Interoperability endpoints

  • Direct secure messaging: mmcghee405922@direct-ehr-ssmhc.com

Organizations & group practices 3

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1538547336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 S WESTERN AVE STE 4010",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093492",
            "telephone_number": "405-644-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 S WESTERN AVE STE 4010",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093492",
            "telephone_number": "405-644-6464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Stanton L Young Blvd",
            "address_2": "WP 1130",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045036",
            "country_code": "US",
            "telephone_number": "405-271-5963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGHEE",
        "first_name": "MIRANDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OK",
            "license": "31584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "JOSEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.