Allan J. Mira, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD014478E Issued in PA

Legal business name

ALLAN J. MIRA, P.C.

Practice address

220 Wilson St
Suite 206
Carlisle, PA 17013-3697

Phone

(717) 249-7400

Fax

(717) 249-7983

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Allan Joseph Mira, M.D.

Title

President

Phone

(717) 249-7400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mira Orthopedics Doing business as

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1598840563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 WILSON ST",
            "address_2": "SUITE 206",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133697",
            "telephone_number": "717-249-7400",
            "fax_number": "717-249-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WILSON ST",
            "address_2": "SUITE 206",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133697",
            "telephone_number": "717-249-7400",
            "fax_number": "717-249-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLAN J. MIRA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "MIRA",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-249-7400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD014478E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006088800001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mira Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.