DR. MIRIAM LANG DAVID


Address: 305 Estill St, Cpo 2174, Berea, KY 40404-0001
Phone: 8599853212

DR. MIRIAM LANG DAVID (NPI# 1104039718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104039718
Entity Type Individual
Full Name DR. MIRIAM LANG DAVID
Credential M.D.
Practice Address 305 Estill St
Cpo 2174
Berea
KY 40404-0001
Practice Telephone 8599853212
Practice Fax Number 8599853910
Mailing Telephone 8599853212
Mailing Fax Number 8599853910
Enumeration Date 2007-05-08
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program 23321 KY Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
KY LICENSE 23321 01

Other Providers MIRIAM DAVID

NPI Name Taxonomy Address Enumeration
1497884928 Miriam David Radiology 1400 Pelham Pkwy S, Bronx, NY 10461-1138 2007-03-02

Office Location

Street Address 305 ESTILL ST
CPO 2174
City BEREA
State KY
Zip Code 40404-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841295060 Kristinalin Caldwell Nurse Practitioner 305 Estill St, Berea, KY 40403-1742 2005-06-15
1104393925 Rebecca Brandenburg Nurse Practitioner 305 Estill St, Berea, KY 40403-1742 2018-10-30
1659703163 Mahmoud A. Abualayem Internal Medicine 305 Estill St, 3rd Floor, Berea, KY 40403-1742 2013-08-07
1982955290 Saint Joseph Health System Inc. Clinic/Center 305 Estill St, Berea, KY 40403-1742 2012-09-26
1306192059 Resource Anesthesia Kentucky Inc Specialist 305 Estill St, Berea, KY 40403-1742 2012-07-31
1487913562 Saint Joseph Medical Foundation, Inc. Pain Medicine 305 Estill St, 4th Floor, Berea, KY 40403-1742 2012-05-10
1780966408 Derrick H Williams Family Medicine 305 Estill St, 4th Floor, Berea, KY 40403-1742 2011-09-20
1659650034 Alberto Zarak Surgery 305 Estill St, Berea, KY 40403-1742 2011-08-16
1770861254 Stephanie S. Mcguire Nurse Practitioner 305 Estill St, Berea, KY 40403-1742 2011-08-01
1144523911 Saint Joseph Medical Foundation, Inc Physician Assistant 305 Estill St, Berea, KY 40403-1742 2010-12-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669837662 Bradley R Smith Specialist/Technologist Berea College Cpo 2187, Berea, KY 40404-0001 2015-12-18
1114184231 Angela Boggs Developmental Therapist Cpo 1943, Berea, KY 40404-0001 2008-05-16
1679500474 Sandra Lee Williams Specialist/Technologist Berea College, Cpo 2093, Berea, KY 40404-0001 2006-06-27

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578175519 Danielle Renee Walker Student in an Organized Health Care Education/Training Program Physician Assistant Program, 275 Eastland Rd, Berea, OH 44017-2088 2020-08-20
1144844382 Bethany Hockensmith Student in an Organized Health Care Education/Training Program 236 Creekwood Dr, Berea, KY 40403-8706 2020-06-03
1023632759 Faseeha Raza Student in an Organized Health Care Education/Training Program Baldwin Wallace University Physician Assistant Program, 201 Front Street, Berea, OH 44017 2020-05-28
1992173942 Megan Williams Student in an Organized Health Care Education/Training Program 472 Edgewood Cir, Berea, OH 44017-2428 2015-09-08
1881208692 Molly Sephel Student in an Organized Health Care Education/Training Program 275 Eastland Rd, Berea, OH 44017-2005 2020-08-31
1821601493 Andrea N Mcgannon Student in an Organized Health Care Education/Training Program 275 Eastland Rd, Berea, OH 44017-2005 2020-08-25
1649883307 Kallie Lin Hinspeter Student in an Organized Health Care Education/Training Program 201 Front St, Berea, OH 44017-1998 2020-08-24
1093327983 Mariah Cluss Student in an Organized Health Care Education/Training Program 275 Eastland Rd, Berea, OH 44017-2005 2020-08-20
1457963472 Rylee Morgan Wheaton Student in an Organized Health Care Education/Training Program 275 Eastland Rd, Berea, OH 44017-2005 2020-08-20
1427660539 Emily Po Student in an Organized Health Care Education/Training Program 275 Eastland Rd, Berea, OH 44017-2005 2020-08-19
Find all providers in BEREA

Competitor

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City BEREA
Zip Code 40404

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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