William S. Mirando, MD, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

35-060349M Issued in OH

Legal business name

WILLIAM S. MIRANDO, MD, LLC

Practice address

2422 Lake Ave
Ashtabula, OH 44004-4985

Phone

(440) 998-3376

Fax

(440) 997-5751

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1891986998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044985",
            "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": "2422 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044985",
            "telephone_number": "440-998-3376",
            "fax_number": "440-997-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM S. MIRANDO, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-060349M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0892780",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynette Wilden
• Wildly Well Counseling and Empowerment
• Meg Wiley, COTA/L
• Archie Scott Wilkinson, M.D.
• William S Mirando MD LLC
• Autumn Williams
• Cincellia Williams
• Dymond Martise Williams, CNA/CMA
• Sarah Williams
• Stefanie Marie Williams

• Specialist in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.