DR. JOHN C. MIRMANESH (NPI# 1780811034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780811034 |
| Entity Type | Individual |
| Full Name | DR. JOHN C. MIRMANESH |
| Credential | M.D. |
| Practice Address |
12000 Lincoln Dr W Ste 311 Marlton NJ 08053-3405 |
| Practice Telephone | 8569858100 |
| Practice Fax Number | 8569850178 |
| Mailing Telephone | 8569858100 |
| Mailing Fax Number | 8569850178 |
| Enumeration Date | 2009-06-14 |
| Last Update Date | 2011-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | P24028 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
12000 LINCOLN DR W STE 311 |
| City | MARLTON |
| State | NJ |
| Zip Code | 08053-3405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509288 | South Jersey Coping Clinic | Counselor | 525 Nj Route 73 South, Ste 306, Marlton, NJ 08053 | 2020-02-11 |
| 1780216952 | Aba Residential | Psychologist | 7 Cooper Ave Suit A, Marlton, NJ 08053 | 2020-02-06 |
| 1003447400 | Forrest Mark Waterman | Optometrist | 928 Nj-73, Evesham Township, NJ 08053 | 2020-02-04 |
| 1124666862 | Bh Brightview Greentree Opco, LLC | Alzheimer Center (Dementia Center) | 170 Grrentree Road, Marlton, NJ 08053 | 2019-12-12 |
| 1780226597 | Cassandra Ann Pistorius | Counselor | 77 Lakeside Dr, Marlton, NJ 08053 | 2019-10-14 |
| 1265099741 | Jessica Strassle | Occupational Therapist | 751 Nj-73, Suite 1, Marlton, NJ 08053 | 2019-05-21 |
| 1972169902 | Jefferson University Radiology Associates, LLC | Radiology | 999 Nj-73, # 101, Marlton, NJ 08053 | 2019-05-15 |
| 1235692120 | Liberty Corner Surgical Center At Marlton LLC | Clinic/Center | 95 Marlton Pike West, Marlton, NJ 08053 | 2019-04-09 |
| 1063995769 | Genesis Counseling Center, Inc. | Counselor | 2003 C Lincoln Dr. W., Marlton, NJ 08053 | 2018-09-10 |
| 1659853414 | Erika V Colbert | Nurse Practitioner | 1 Eves Drive 134, 134, Marlton, NJ 08053 | 2018-08-29 |
| Find all providers in zip 08053 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679669618 | Racine B Zechowy | Pediatrics | 127 Church Rd Ste 800, Marlton, NJ 08053-9425 | 2006-10-05 |
| 1174536783 | Advocare, LLC | Pediatrics | 525 Rt. 73 South Evesham Commons 102, Marlton, NJ 08053 | 2006-08-14 |
| 1316904410 | Benjamin A Rosenblum | Pediatrics | 301 Old Marlton Pike W, Suite 1, Marlton, NJ 08053-2076 | 2006-05-01 |
| 1356331482 | Ramesh Ragothaman | Pediatrics | 528 Lippincott Dr, Marlton, NJ 08053-4805 | 2005-10-28 |
| 1134119811 | Bryan H Levey | Pediatrics | 475 Old Marlton Pike W, Suite 4, Marlton, NJ 08053-2098 | 2005-10-25 |
| 1962492959 | Aditee D Leszkowicz | Pediatrics | 500 Lippincott Dr, Marlton, NJ 08053-4802 | 2005-10-21 |
| 1356988661 | Peds Purpose LLC | Pediatrics | 525 Route 73 N Ste 104, Marlton, NJ 08053-3422 | 2019-12-05 |
| 1902126121 | Thomas Joseph Killeen IIi | Pediatrics | 402 Lippincott Dr, Marlton, NJ 08053-4112 | 2010-06-10 |
| 1407974512 | Integrated Childrens Health | Pediatrics | 528 Lippincott Dr, Marlton, NJ 08053-4805 | 2007-03-27 |
| 1467508796 | Center for Pediatrics Adolescent and Adult Medicine of Snj Pa | Pediatrics | 12000 Lincoln Dr W, Suite 311, Marlton, NJ 08053-3402 | 2007-01-27 |
| Find all providers in MARLTON | ||||
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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.