Active NPI
William S. Mirando, MD,LLC
- Specialist
- Amherst, OH
National Provider Identifier
1700077575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 35-060349M
- Legal business name
- WILLIAM S. MIRANDO, MD,LLC
- Practice address
- 201 N Leavitt Rd
Amherst, OH 44001-1124 - Phone
- (440) 985-3376
- Fax
- (440) 985-3379
- NPI assigned
- Aug 7, 2007
- Last updated
- Oct 23, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Skippon Mirando, M.D.
- Title
- Medical Doctor/Owner
- Phone
- (440) 998-3376
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 35-060349M | OH | Primary |
Addresses
Primary practice location
201 N Leavitt Rd
Amherst, OH 44001-1124
Mailing address
2885 N Ridge Rd E
Ashtabula, OH 44004-4134
Phone (440) 998-3376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0892780 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Ashtabula, OH
- NPI 1386622942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414022400000",
"number": "1700077575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2885 N RIDGE RD E",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440044134",
"telephone_number": "440-998-3376",
"fax_number": "440-997-5751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N LEAVITT RD",
"city": "AMHERST",
"state": "OH",
"postal_code": "440011124",
"telephone_number": "440-985-3376",
"fax_number": "440-985-3379"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM S. MIRANDO, MD,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-07",
"last_updated": "2014-10-23",
"status": "A",
"authorized_official_last_name": "MIRANDO",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "SKIPPON",
"authorized_official_title_or_position": "MEDICAL DOCTOR/OWNER",
"authorized_official_telephone_number": "440-998-3376",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "35-060349M",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0892780",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.