Edgar J Miranda Gonzalez (NPI# 1649685298, PAC ID# 1658642079) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1649685298 |
| PAC ID by PECOS | 1658642079 |
| Professional Enrollment ID | I20170803001691 |
| Full Name | Edgar J Miranda Gonzalez |
| Organization Legal Name | WHEELER PEAK EMERGENCY PHYSICIANS LLC |
| Address |
11375 Cortez Blvd Brooksville FL 34613-5409 |
| Phone Number | 3525973007 |
| Gender | M |
| Medical School | UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1052633203 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100264 | OAK HILL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 3525973007 | WHEELER PEAK EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | WHEELER PEAK EMERGENCY PHYSICIANS LLC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen M Costa | Nurse Practitioner | Wheeler Peak Emergency Physicians LLC | 11375 Cortez Blvd, Brooksville, FL 34613-5409 |
| Fernando A Jara | Emergency Medicine | Wheeler Peak Emergency Physicians LLC | 11375 Cortez Blvd, Brooksville, FL 34613-5409 |
| Robert Falkowski | Emergency Medicine | Wheeler Peak Emergency Physicians LLC | 11375 Cortez Blvd, Brooksville, FL 34613-5409 |
| Brent W Arnold | Emergency Medicine | Wheeler Peak Emergency Physicians LLC | 11375 Cortez Blvd, Brooksville, FL 34613-5409 |
| Amanda L Mcclaren | Nurse Practitioner | Wheeler Peak Emergency Physicians LLC | 11375 Cortez Blvd, Brooksville, FL 34613-5409 |
| Ashlee L Montalvo | Nurse Practitioner | Wheeler Peak Emergency Physicians LLC | 11375 Cortez Blvd, Brooksville, FL 34613-5409 |
| David V Degenhardt | Emergency Medicine | Wheeler Peak Emergency Physicians LLC | 11375 Cortez Blvd, Brooksville, FL 34613-5409 |
| Coralys Melendez Lebron | Emergency Medicine | Wheeler Peak Emergency Physicians LLC | 11375 Cortez Blvd, Brooksville, FL 34613-5409 |
| Veronica T Tucci | Emergency Medicine | Wheeler Peak Emergency Physicians LLC | 11375 Cortez Blvd, Brooksville, FL 34613-5409 |
| Alfredo Tirado | Emergency Medicine | Wheeler Peak Emergency Physicians LLC | 11375 Cortez Blvd, Brooksville, FL 34613-5409 |
| Street Address |
11375 CORTEZ BLVD |
| City | BROOKSVILLE |
| State | FL |
| Zip | 34613-5409 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen M Costa | Nurse Practitioner | Wheeler Peak Emergency Physicians LLC | 11375 Cortez Blvd, Brooksville, FL 34613-5409 |
| Mohamed Shahout | Anesthesiology | Anesthesiologist Associates Oak Hill Division,pa | 11375 Cortez Blvd, Brooksville, FL 34613-5409 |
| Michael J Wahl | Cardiac Surgery | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | |
| Fernando A Jara | Emergency Medicine | Wheeler Peak Emergency Physicians LLC | 11375 Cortez Blvd, Brooksville, FL 34613-5409 |
| Narayana Murthy S Rattehalli | Cardiac Surgery | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | |
| Robert Falkowski | Emergency Medicine | Wheeler Peak Emergency Physicians LLC | 11375 Cortez Blvd, Brooksville, FL 34613-5409 |
| Brent W Arnold | Emergency Medicine | Wheeler Peak Emergency Physicians LLC | 11375 Cortez Blvd, Brooksville, FL 34613-5409 |
| Amanda L Mcclaren | Nurse Practitioner | Wheeler Peak Emergency Physicians LLC | 11375 Cortez Blvd, Brooksville, FL 34613-5409 |
| Ashlee L Montalvo | Nurse Practitioner | Wheeler Peak Emergency Physicians LLC | 11375 Cortez Blvd, Brooksville, FL 34613-5409 |
| Keri Lynn Davies | Nurse Practitioner | Community Hospital Family Practice LLC | 11375 Cortez Blvd, Brooksville, FL 34613-5409 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jay N Rayan | Internal Medicine | 12900 Cortex Blvd, Suite 102, Brooksville, FL 34613 | |
| Michael R Ahuja | Physical Medicine and Rehabilitation | 12440 Cortez Blvd, Brooksville, FL 34613-2628 | |
| Montserrat Torne-perez | Physical Medicine and Rehabilitation | 12440 Cortez Blvd, Brooksville, FL 34613-2628 | |
| Katia G Santos | Physical Medicine and Rehabilitation | 12440 Cortez Blvd, Spring Hill, FL 34613-2628 | |
| Mira Zelin | Physical Medicine and Rehabilitation | 12440 Cortez Blvd, Brooksville, FL 34613-2628 | |
| Glennal M Verbois | Physical Medicine and Rehabilitation | 12440 Cortez Blvd, Brooksville, FL 34613-2628 | |
| Vinaitheertha P Nagarajan | Urology | 12202 Cortez Blvd, Brooksville, FL 34613-2630 | |
| Gopal R Korupolu | General Practice | 12204 Cortez Blvd, Brooksville, FL 34613-2630 | |
| Jennifer Ellen Terry | Nurse Practitioner | Care One of Florida LLC | 12220 Cortez Blvd, Brooksville, FL 34613-2631 |
| William J Jason | Orthopedic Surgery | 12212 Cortez Blvd, Brooksville, FL 34613-2631 | |
| Find all physicians in zip 34613 | |||
| City | BROOKSVILLE |
| Zip Code | 34613 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | BROOKSVILLE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Edgar J Miranda Gonzalez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.