DR. JOSEPH MIRRO MD NPI 1427051200

NPI Information

NPI: 1427051200
Provider Name: DR. JOSEPH MIRRO, MD
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

PECOS Registration: Yes

Address:
200 N PARK ST
WEST MICHIGAN CANCER CENTER
KALAMAZOO, MI
ZIP 49007
Phone: (269) 910-6555
Get Directions

DR. Joseph Mirro, MD is a pediatric hematology-oncology pediatrics in Kalamazoo, MI. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. DR. Joseph Mirro, MD NPI is 1427051200. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 N PARK ST
WEST MICHIGAN CANCER CENTER
KALAMAZOO, MI
ZIP 49007-731
Phone: (269) 910-6555
Fax: (269) 384-8610

The NPI 1427051200 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 5/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	4301100173	MICHIGAN	No
2	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	13553	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6728057	MEDICARE UPIN	VIRGINIA
2	100249681-00	MEDICAID	NEBRASKA
3	3821400	MEDICAID	TENNESSEE
4	0528836	MEDICAID	IOWA
5	66660025 - WMCC	MEDICARE PIN	MICHIGAN
6	1427051200	MEDICAID	MICHIGAN
7	1534722	MEDICAID	LOUISIANA
8	Q13553	MEDICAID	SOUTH CAROLINA
9	009914380	MEDICAID	ALABAMA
10	1447261730	OTHER	MICHIGAN	BCBS - WMCC
11	100025910A	MEDICAID	OKLAHOMA
12	200179770A	MEDICAID	INDIANA
13	209684901	MEDICAID	MISSOURI
14	060495101	MEDICAID	TEXAS
15	00118886	MEDICAID	MISSISSIPPI
16	3821405	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	MEDICARE
17	133070001	MEDICAID	ARKANSAS
18	1135121 00	MEDICAID	WYOMING
19	64712789	MEDICAID	KENTUCKY
20	E90636	MEDICARE UPIN	TENNESSEE
21	422400000	MEDICAID	MAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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