Organization Active NPI

William S. Mirando, MD,LLC

  • Specialist
  • Amherst, OH
National Provider Identifier
1700077575
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35-060349M Issued in OH
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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.NPI 1386622942
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0892780MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.