DIEGO A MIRANDA (NPI# 1104845080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104845080 |
| Entity Type | Individual |
| Full Name | DIEGO A MIRANDA |
| Credential | MD |
| Practice Address |
2449 Hospital Drive Suite 340 Bossier City LA 71111 |
| Practice Telephone | 3182127841 |
| Practice Fax Number | 3182127768 |
| Mailing Telephone | 3182127841 |
| Mailing Fax Number | 3182127768 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2009-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
199959 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1478997 | 05 |
| Street Address |
2449 HOSPITAL DRIVE SUITE 340 |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678484 | John T. Mays | Orthopaedic Surgery | 2449 Hospital Drive, Suite 200, Bossier City, LA 71111-2382 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316146228 | Orthopaedic Sports Specialists of Louisiana LLC | Orthopaedic Surgery | 726 N Acadia Rd Ste 1000, Thibodaux, LA 70301-5051 | 2007-07-12 |
| 1609837020 | Michelle R Ritter | Orthopaedic Surgery | 385 Bert Kouns Industrial Loop, Suite 500, Shreveport, LA 71106-8158 | 2006-03-28 |
| 1386153591 | Kayleigh Eppling Binet | Orthopaedic Surgery | 200 W Esplanade Ave, Kenner, LA 70065-2489 | 2017-09-20 |
| 1033633284 | Allen T. Borne, M.d., LLC | Orthopaedic Surgery | 726 N Acadia Rd Ste 1000, Thibodaux, LA 70301-5009 | 2017-07-31 |
| 1306377189 | Donald C. Faust, Md | Orthopaedic Surgery | 2633 Napoleon Ave, Suite 600, New Orleans, LA 70115-6357 | 2017-03-23 |
| 1700282704 | Lmg, LLC | Orthopaedic Surgery | 2731 Napoleon Ave, New Orleans, LA 70115-6913 | 2014-11-18 |
| 1326485319 | Matthew Rand Mccarley | Orthopaedic Surgery | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2013-05-30 |
| 1487949483 | Brent Van Mccarty | Orthopaedic Surgery | 1200 Pinnacle Pkwy, Covington, LA 70433-9167 | 2011-06-17 |
| 1578855896 | Allen T Borne | Orthopaedic Surgery | 726 N Acadia Rd Ste 1000, Thibodaux, LA 70301-5009 | 2011-05-04 |
| 1396069308 | Katherine Faust | Orthopaedic Surgery | 2633 Napoleon Ave, Suite 600, New Orleans, LA 70115-6357 | 2010-03-19 |
| Find all providers with the same taxonomy | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
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| 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.