MS. KARINA J MIRANDA (NPI# 1598137085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598137085 |
| Entity Type | Individual |
| Full Name | MS. KARINA J MIRANDA |
| Credential | PA-C |
| Practice Address |
8321 W North Ave Melrose Park IL 60160-1605 |
| Mailing Address |
600 W Fulton St Ste 200 Chicago IL 60661-1262 |
| Practice Telephone | 7086812298 |
| Practice Fax Number | 7086812398 |
| Mailing Telephone | 3125262083 |
| Mailing Fax Number | 3125262083 |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085-005705 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
085.005705 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PHYSICIAN ASSISTANT LICENSE | 085.005705 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417132671 | Karina Elizabeth Miranda | Counselor | 1688 N Perris Blvd Ste L7-l11, Perris, CA 92571-4709 | 2008-01-07 |
| Street Address |
8321 W NORTH AVE |
| City | MELROSE PARK |
| State | IL |
| Zip Code | 60160-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376654103 | James J Gomez | Obstetrics & Gynecology | 8321 W North Ave, Melrose Park, IL 60160-1605 | 2006-08-31 |
| 1821474958 | Annica M Shumny | Dietitian, Registered | 8321 W North Ave, Melrose Park, IL 60160-1605 | 2015-07-30 |
| 1083957740 | Ronald Dean Shore II | Physician Assistant | 8321 W North Ave, Melrose Park, IL 60160-1605 | 2013-04-01 |
| 1134271596 | Melrose Pharmacy Inc | Pharmacy | 8321 W North Ave, Melrose Park, IL 60160-1605 | 2007-01-17 |
| 1467523647 | Christy Garrison Reinhard | Pediatrics | 8321 W North Ave, Melrose Park, IL 60160-1605 | 2006-11-10 |
| 1104905702 | Access Community Health Network | Clinic/Center | 8321 W North Ave, Melrose Park, IL 60160-1605 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295217651 | Kairsten Thies | Registered Nurse | 1225 W. Lake St., Melrose Park, IL 60160 | 2018-09-02 |
| 1780195701 | Julia Mccann-khludenev | Nurse Practitioner | 153 1/2 Broadway Ave., Melrose Park, IL 60160 | 2017-10-17 |
| 1629595749 | Katarzyna Teresa Buksa | Speech-Language Pathologist | 906 Walton St., Melrose Park, IL 60160 | 2017-08-29 |
| 1972955102 | Erika Lazaro | Counselor | 1414 Main Street, Melrose Park, IL 60160 | 2016-07-12 |
| 1811344096 | Margaret Ann Kress | Nurse Practitioner | 675 W North Ave Ste 402, Melrose Park, IL 60160 | 2016-05-18 |
| 1942578703 | Rachna Shah Md Sc | Internal Medicine | 675 West North Ave, #310, Melrose Park, IL 60160 | 2011-12-08 |
| 1033486741 | Stephanie Lamonica | Pharmacist | 850 West North Ave, T0837, Melrose Park, IL 60160 | 2011-11-23 |
| 1285913384 | Melinda Vazquez | Social Worker | 1414 Main, Melrose Park, IL 60160 | 2011-08-08 |
| 1629373212 | Advanced Wellness Clinics | Internal Medicine | 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 | 2011-01-13 |
| 1508188525 | Guillermo Fernando Mora | Family Medicine | 1111 W Superior, Suite #306, Melrose Park, IL 60160 | 2010-02-17 |
| Find all providers in zip 60160 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457756272 | Grace-marie Martina Ottomanelli | Physician Assistant | 153 1/2 North 19th Avenue, Melrose Park, IL 60160-3702 | 2014-10-23 |
| 1215217286 | Ismene Potakis | Physician Assistant | 1111 Superior St Ste 207, Melrose Park, IL 60160-4156 | 2011-08-23 |
| 1205308756 | Cassadana Kirk | Physician Assistant | 1225 W Lake St, Melrose Park, IL 60160-4039 | 2018-12-21 |
| 1558848671 | Adai V Karuthalackal | Physician Assistant | 153 1/2 N 19th Ave, Melrose Park, IL 60160 | 2018-07-21 |
| 1356733034 | Jessica Lynn Dye | Physician Assistant | 675 W North Ave, Suite 607, Melrose Park, IL 60160-1634 | 2015-03-04 |
| 1659761567 | Lisa Evertsen | Physician Assistant | 1225 W Lake St, Melrose Park, IL 60160 | 2015-01-29 |
| 1740619246 | Merissa Mann | Physician Assistant | 675 W North Ave, Suite 402, Melrose Park, IL 60160-1634 | 2013-11-05 |
| 1144661448 | Joseph E. Merryweather | Physician Assistant | 1225 W Lake St, Melrose Park, IL 60160-4039 | 2013-07-15 |
| 1083957740 | Ronald Dean Shore II | Physician Assistant | 8321 W North Ave, Melrose Park, IL 60160-1605 | 2013-04-01 |
| 1841591344 | Daniel Signorelli | Physician Assistant | 675 W North Ave, Suite 402, Melrose Park, IL 60160-1634 | 2010-11-15 |
| Find all providers in MELROSE PARK | ||||
| City | MELROSE PARK |
| Zip Code | 60160 |
Please comment or provide details below to improve the information on MS. KARINA J MIRANDA.
| 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.