Organization Active NPI

Hernan E. Miranda MD PA

  • Internal Medicine Physician
  • Amarillo, TX
National Provider Identifier
1851752158
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N0984 Issued in TX
Legal business name
HERNAN E. MIRANDA MD PA
Practice address
1301 S Coulter St
Suite 104
Amarillo, TX 79106-1763
Phone
(806) 350-7355
Fax
(806) 350-7362
NPI assigned
Mar 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Hernan E Miranda, MDNPI 1477547339
Title
Owner
Phone
(805) 350-7355

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X N0984 TX Primary

Addresses

Primary practice location

1301 S Coulter St
Suite 104
Amarillo, TX 79106-1763

Mailing address

1301 S Coulter St
Suite 104
Amarillo, TX 79106-1763
Phone (806) 350-7355

National Provider Directory

National Provider Directory

Locations

1301 S Coulter St
Ste 104
Amarillo, TX 79106
Phone (806) 350-7355

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": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1851752158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S COULTER ST",
            "address_2": "SUITE 104",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061763",
            "telephone_number": "806-350-7355",
            "fax_number": "806-350-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S COULTER ST",
            "address_2": "SUITE 104",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061763",
            "telephone_number": "806-350-7355",
            "fax_number": "806-350-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNAN E. MIRANDA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "HERNAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-350-7355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N0984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.