DR. JOSEPH MIRRO JR. (NPI# 1427051200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427051200 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH MIRRO JR. |
| Credential | MD |
| Practice Address |
200 N Park St West Michigan Cancer Center Kalamazoo MI 49007-3731 |
| Practice Telephone | 2699106555 |
| Practice Fax Number | 2693848610 |
| Mailing Telephone | 2699106555 |
| Mailing Fax Number | 2693848610 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2014-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
4301100173 | MI | Allopathic & Osteopathic Physicians |
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
13553 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0528836 | 05 | |
| NE | 100249681-00 | 05 | |
| SC | Q13553 | 05 | |
| WY | 1135121 00 | 05 | |
| TX | 060495101 | 05 | |
| IN | 200179770A | 05 | |
| MO | 209684901 | 05 | |
| MI | BCBS - WMCC | 1447261730 | 01 |
| AR | 133070001 | 05 | |
| LA | 1534722 | 05 | |
| TN | 3821400 | 05 | |
| MI | 1427051200 | 05 | |
| AL | 009914380 | 05 | |
| OK | 100025910A | 05 | |
| ME | 422400000 | 05 | |
| KY | 64712789 | 05 | |
| MS | 00118886 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003474834 | Joseph E Mirro | Student in an Organized Health Care Education/Training Program | 518 Hunter Ave, West Islip, NY 11795-1641 | 2019-06-05 |
| Street Address |
200 N PARK ST WEST MICHIGAN CANCER CENTER |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49007-3731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770105553 | Kathryn Barnett | Nurse Practitioner | 200 N Park St, Kalamazoo, MI 49007-3731 | 2020-05-14 |
| 1528618725 | Mallory Davis | Social Worker | 200 N Park St, Kalamazoo, MI 49007-3731 | 2019-09-19 |
| 1710498290 | Chelsea Ashcraft | Physician Assistant | 200 N Park St, Kalamazoo, MI 49007-3731 | 2017-10-24 |
| 1336650431 | Kaitlyn Mcgrail | Physician Assistant | 200 N Park St, Kalamazoo, MI 49007-3731 | 2017-10-16 |
| 1215394580 | Stephen Paul Rucker | Physician Assistant | 200 N Park St, Kalamazoo, MI 49007-3731 | 2016-01-18 |
| 1831566637 | Timothy Craig Nicaise Jr. | Nurse Practitioner | 200 N Park St, Kalamazoo, MI 49007-3731 | 2015-08-27 |
| 1730506510 | West Michigan Cancer Center | Pharmacy | 200 N Park St, Kalamazoo, MI 49007-3731 | 2014-03-18 |
| 1841624483 | Michael Thomas Francisco | Physician Assistant | 200 N Park St, Kalamazoo, MI 49007-3731 | 2013-08-31 |
| 1730463597 | Julie Ann Digiovanni | Clinical Nurse Specialist | 200 N Park St, Kalamazoo, MI 49007-3731 | 2011-09-28 |
| 1023390507 | Tricia M Miedema | Physician Assistant | 200 N Park St, Kalamazoo, MI 49007-3731 | 2011-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881248342 | Whitney Kiel | Pharmacist | 601 John Street Suite M-020, Kalamazoo, MI 49007 | 2019-08-01 |
| 1316591571 | Laura Jedele | Physical Therapist | Bronson Healthcare Group, 601 John St, Kalamazoo, MI 49007 | 2019-07-26 |
| 1992209084 | Yvonne Marie Heltzel | Behavior Technician | 1826 N Rose St, Kalamazoo, MI 49007 | 2018-03-22 |
| 1396263943 | Travis Todd Turrell | Physician Assistant | 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 | 2017-09-05 |
| 1619493186 | Sarah Zuspann | Nurse Practitioner | 601 John Street, Suite 100, Kalamazoo, MI 49007 | 2017-08-16 |
| 1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
| 1265988901 | Calee Dieleman | Social Worker | 610 South Burdick, Kalamazoo, MI 49007 | 2016-09-01 |
| 1508313099 | Arriel Julia Ampey | Social Worker | 414 S. Burdick St., Suite 200, Kalamazoo, MI 49007 | 2016-09-01 |
| 1043662745 | Holloway Marston | Psychologist | 717 W South St, Apt. #6, Kalamazoo, MI 49007 | 2016-07-06 |
| 1205280062 | Bronson At Home | Home Health | 601 John St Ste M-431, Kalamazoo, MI 49007 | 2016-04-19 |
| Find all providers in zip 49007 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801298799 | Bronson Methodist Hospital | Pediatrics | 601 John St, Suite M005, Kalamazoo, MI 49007-5341 | 2014-09-23 |
| 1588806277 | Prasanth Pillai | Pediatrics | 601 John St, Suite M-005, Kalamazoo, MI 49007-5341 | 2009-03-27 |
| 1558330829 | Leonard Mattano | Pediatrics | 601 John St, Ste E-300, Kalamazoo, MI 49007-5341 | 2006-03-17 |
| 1851360176 | Jeffrey S Lobel | Pediatrics | 601 John St, Ste M005, Kalamazoo, MI 49007-5341 | 2006-03-17 |
| 1710956347 | Katharina E Elliott | Pediatrics | 601 John St, Suite M005, Kalamazoo, MI 49007-5341 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306208244 | Spectrum Health Hospitals | Pediatrics | 217 S Madison, Traverse City, MI 49684 | 2016-03-21 |
| 1124347497 | George Lewis Royer Jr. | Pediatrics | 1750 Greenbriar Dr, Portage, MI 49024-5785 | 2010-05-25 |
| 1679701692 | Tania Tusharkanti Sarker | Pediatrics | 2700 Hamlin Boulevard, Inkster, MI 48141 | 2009-06-29 |
| 1942403720 | Troy Christopher Quigg | Pediatrics | 100 Michigan St Ne Fl 10, Grand Rapids, MI 49503-2560 | 2007-06-07 |
| 1922063478 | Laura K Gowans | Pediatrics | 3577 West 13 Mile Road, Suite 101, Royal Oak, MI 48073 | 2006-04-19 |
| 1740802958 | Msu Health Care Inc. | Pediatrics | 1200 E Michigan Ave Ste 145, Lansing, MI 48912-1897 | 2020-05-11 |
| 1972030567 | Jillian Lapinski | Pediatrics | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2017-05-15 |
| 1689037954 | Joshua Goldman | Pediatrics | 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2016-04-03 |
| 1023402906 | Charles Nathaniel Nessle | Pediatrics | 1500 E. Medical Center Drive, Ann Arbor, MI 48109 | 2015-03-27 |
| 1073924510 | Allison Schnepp | Pediatrics | 1 Hurley Plz, Flint, MI 48503-5902 | 2014-05-19 |
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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.