Active NPI
Rogelio Sarminto Miranda, MD
- Obstetrics & Gynecology Physician
- Fairborn, OH
National Provider Identifier
1700983046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35035005
- Practice address
- 850 E Xenia Dr
Ste. 200
Fairborn, OH 45324-8747 - Phone
- (937) 352-2870
- Fax
- (937) 352-2874
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35035005 | OH | Primary |
Addresses
Primary practice location
850 E Xenia Dr
Ste. 200
Fairborn, OH 45324-8747
Mailing address
PO Box 712893
Cincinnati, OH 45271-2893
Phone (800) 517-0856
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0392856 | Medicaid | OH | |
| 000000500363 | Other | OH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifestages - Samaritan Centers for Women LTD | Past | Accepting new patients | |
| Davue OB/GYN Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Dayton, OH
- NPI 1558317982
-
- Specialist
- Dayton, OH
- NPI 1205882677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191369600000",
"number": "1700983046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 712893",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452712893",
"telephone_number": "800-517-0856",
"fax_number": "800-517-0856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 E XENIA DR",
"address_2": "STE. 200",
"city": "FAIRBORN",
"state": "OH",
"postal_code": "453248747",
"telephone_number": "937-352-2870",
"fax_number": "937-352-2874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "ROGELIO",
"middle_name": "SARMINTO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35035005",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0392856",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000500363",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairborn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.