DR. PAUL A MIRANDA (NPI# 1285659144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285659144 |
| Entity Type | Individual |
| Full Name | DR. PAUL A MIRANDA |
| Credential | MD |
| Practice Address |
88 Stuart Rd Ste 88 Ft Oglethorpe GA 30742-4047 |
| Mailing Address |
6 Rock Crest Dr Signal Mtn TN 37377-2302 |
| Practice Telephone | 4235215404 |
| Practice Fax Number | 7064062922 |
| Mailing Telephone | 4232438196 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-02-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | MD034164 | TN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 70270 | GA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 34164 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS - TENNESSEE | 4352656 | 01 |
| TN | 1508291 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6 Rock Crest Dr, Signal Mtn, TN 373772302 | 4232438196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902439300 | Paul Miranda | Counselor | 2532 Wilson Ave Apt D, Redding, CA 96002-1741 | 2020-02-13 |
| 1346783438 | Paul Miranda | Physical Therapist | 4725 N Sheridan Rd Apt 2d, Chicago, IL 60640-4793 | 2016-11-22 |
| Street Address |
88 STUART RD STE 88 |
| City | FT OGLETHORPE |
| State | GA |
| Zip Code | 30742-4047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225585037 | Family Medical Therapies Pllc | Family Medicine | 88 Stuart Rd Ste 88, Ft Oglethorpe, GA 30742-4047 | 2016-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194295972 | Essential Dental, Inc. | Clinic/Center | Essential Dental, Inc, 1188 Cross Street, Fort Oglethorpe, GA 30742 | 2018-12-05 |
| 1760993646 | Mary Lucinda Williams | Counselor | 2007 Old Lafayette Road, Ft. Oglethorpe, GA 30742 | 2017-10-18 |
| 1689120321 | Mary Elizabeth O'brien | Physical Therapist | 2403 Battlefield Parkway, Fort Oglethorpe, GA 30742 | 2016-09-01 |
| 1952768624 | Richard Falconbury | Audiologist-Hearing Aid Fitter | 967 Battlefield Pkwy, Ft Oglethorpe, GA 30742 | 2016-01-26 |
| 1720471469 | Fred Gilreath | Pharmacist | 3801 Tennessee Ave., Fort Oglethorpe, GA 30742 | 2015-03-05 |
| 1538559240 | Michael Dewayne Craig | Physician Assistant | 3063 Battlefield Pkwy, Fort Oglethorpe, GA 30742 | 2015-02-02 |
| 1003232968 | Carla Myers | Counselor | 1875 Fant Drive, Lookout Mountain Community Services, Ft. Oglethorpe, GA 30742 | 2014-03-14 |
| 1386823680 | Lisa L. Bethea | Anesthesiology | 504 N. Thomas Rd, Suite 200, Hutcheson Medical Center, Fort Oglethorpe, GA 30742 | 2007-11-02 |
| 1487857447 | James Andrew Scolet | Physical Therapy Assistant | Nhc Healthcare, 2203 Battlefield Parkway, Fort Oglethorpe, GA 30742 | 2007-06-07 |
| 1548338296 | Amy C Williams | Occupational Therapist | 118 Herron Street, Ft Oglethorpe, GA 30742 | 2006-12-01 |
| Find all providers in zip 30742 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154801454 | Angela Kaye Llewellyn | Family Medicine | 1875 Fant Dr, Ft Oglethorpe, GA 30742-3307 | 2018-08-16 |
| 1225585037 | Family Medical Therapies Pllc | Family Medicine | 88 Stuart Rd Ste 88, Ft Oglethorpe, GA 30742-4047 | 2016-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124629365 | Dima Healthcare, Inc | Family Medicine | 7768 Cumming Hwy Ste 300, Canton, GA 30115-2982 | 2020-11-04 |
| 1871192260 | Ashley Willingham | Family Medicine | 210 Carlisle Way, Savannah, GA 31419-6606 | 2020-10-18 |
| 1831706217 | Veronica Vante | Family Medicine | 200 Business Center Dr Ste 204, Stockbridge, GA 30281-9025 | 2020-09-29 |
| 1912514969 | Oasis Healthcare Service | Family Medicine | 2195 Pace St Ste E, Covington, GA 30014-6657 | 2020-09-24 |
| 1881200772 | My Nurse Now, LLC | Family Medicine | 7070 Hodgson Memorial Dr, Savannah, GA 31406-2529 | 2020-09-16 |
| 1598377319 | Renee Green Lewis | Family Medicine | 9 Bluelake Blvd, Pooler, GA 31322-9617 | 2020-08-21 |
| 1841800836 | Ascend Medical Georgia PC | Family Medicine | One Alliance Center, 3500 Lenox Road Suite 1500, Atlanta, GA 30326 | 2020-08-04 |
| 1407464084 | Railyard Family Medicine LLC | Family Medicine | 416 Grayson Pkwy, Grayson, GA 30017-1220 | 2020-07-20 |
| 1851909535 | Newly Sought After International LLC | Family Medicine | 11815 Northfall Ln Ste 1001, Alpharetta, GA 30009-7973 | 2020-07-17 |
| 1992323398 | Careperks LLC | Family Medicine | 4936 Presidents Way, Tucker, GA 30084-3038 | 2020-07-12 |
| Find all providers with the same taxonomy | ||||
| City | FT OGLETHORPE |
| Zip Code | 30742 |
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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.