DR. ROBERTO MIRANDA (NPI# 1891798633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891798633 |
| Entity Type | Individual |
| Full Name | DR. ROBERTO MIRANDA |
| Credential | M.D. |
| Practice Address |
1508 Dessau Ridge Ln Apt 602 Ste B Austin TX 78754-2121 |
| Practice Telephone | 5124779202 |
| Practice Fax Number | 5124729473 |
| Mailing Telephone | 5124779202 |
| Mailing Fax Number | 5124729473 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2011-01-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E2740 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 00318Q | 01 |
| TX | 140282837 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568958254 | Roberto Miranda | Technician | 4059 Adelphi Ave, Las Vegas, NV 89120-3838 | 2018-07-05 |
| 1871569921 | Roberto N Miranda | Pathology | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2006-02-28 |
| Street Address |
1508 DESSAU RIDGE LN APT 602 STE B |
| City | AUSTIN |
| State | TX |
| Zip Code | 78754-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425214 | Paul Lewis Duffy | Counselor | Counseling Services, 1625 Rutherford Ln., Austin, TX 78754 | 2020-10-20 |
| 1174006324 | Lannie Hood | Licensed Practical Nurse | 9017 Wellesley Dr, Austin, TX 78754 | 2018-09-13 |
| 1013499680 | Angela Mccaughey | Physical Therapy Assistant | 6513 Boyce Ln, Austin, TX 78754 | 2018-08-30 |
| 1518484351 | St. Teresa of Calcutta Home Health, LLC | Home Health Aide | 12609 Dessau Rd. Lot 313, Austin, TX 78754 | 2017-08-23 |
| 1386050573 | Tuyen Dao | Pharmacist | 11403 Birchover Lane, Austin, TX 78754 | 2014-07-08 |
| 1568895829 | Cameron Diagnostic Center, Inc | Contractor | 7901 Cameron Rd.bldg.2 Suite 143, Austin, TX 78754 | 2013-08-09 |
| 1427495415 | Universal Diagnostic Services Inc | Specialist | 7901 Cameron Rd Bldg 2, Suite 144, Austin, TX 78754 | 2013-05-30 |
| 1598044414 | Sleiman Weight Loss Centers Pa | Family Medicine | 7901 Cameron Rd Bldg 3, Suite 105, Austin, TX 78754 | 2011-08-09 |
| 1922321462 | Nowling Home Healthcare Inc | Hospice Care, Community Based | 7901 Cameron, Building 3 Suite 135, Austin, TX 78754 | 2010-03-11 |
| 1760714240 | Shireen Connor | Social Worker | 1611 Headway Circle, Bldg. 2, Austin, TX 78754 | 2010-02-08 |
| Find all providers in zip 78754 | ||||
| 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 |
|---|---|---|---|---|
| 1205437662 | Angela Ekern | Family Medicine | 7421 Cordoba Dr, Austin, TX 78724-6252 | 2020-11-03 |
| 1245847011 | Diane Brewer | Family Medicine | 309 Shant St, Austin, TX 78748-1612 | 2020-09-25 |
| 1568075265 | Agno Health, LLP | Family Medicine | 2506 South Lamar Blvd, Unit 2, Austin, TX 78704-4731 | 2020-08-24 |
| 1245853514 | Kaitlin Claire Negandhi Valentine | Family Medicine | 1400 N Ih 35 Ste C2.410, Austin, TX 78701-1926 | 2020-05-21 |
| 1548899248 | Candice Bethke Escobedo | Family Medicine | 12020 Pepperidge Dr, Austin, TX 78739-1948 | 2020-04-04 |
| 1184257123 | Aegis Health Services LLC | Family Medicine | 3005 S Lamar Blvd Ste D109-245, Austin, TX 78704-8864 | 2020-02-18 |
| 1285274100 | Mw Wellness Iv, LLC | Family Medicine | 13359 N Highway 183 Ste 403, Austin, TX 78750-7154 | 2020-01-08 |
| 1578112207 | Heather Lenz | Family Medicine | 6633 E Highway 290 Ste 300, Austin, TX 78723-1158 | 2019-09-05 |
| 1245887355 | Jonathan Thomas Mason | Family Medicine | 1400 N-ih 35, Dell Seton Medical Center, Ste C2.410, Austin, TX 78701 | 2019-08-22 |
| 1609421247 | Maycare, Pllc | Family Medicine | 6911 Ranch Road 620 N Ste A-300, Austin, TX 78732-1920 | 2019-08-08 |
| Find all providers in AUSTIN | ||||
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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.