Michael J Mirro in Fort Wayne - Geriatric Medicine
Michael J Mirro - NPI 1053303222
Michael J Mirro is a Geriatric Medicine in Fort Wayne, Indiana. Michael J Mirro practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Michael J Mirro is 1053303222. The last update date is 2017-04-21.
Michael J Mirro's current location address is 3926 New Vision Dr, Fort Wayne, Indiana. You can contact this provider via phone number 2602668213. The mailing address for Michael J Mirro is 3926 New Vision Dr, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael J Mirro |
|---|---|
| Address | 3926 New Vision Dr, Fort Wayne, Indiana |
| Phone Number | 2602668213 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1053303222 |
|---|---|
| Provider Enumeration Date | 2005-08-15 |
| Last Updated Date | 2017-04-21 |
Provider Mailing Address Detail
| Address | 3926 New Vision Dr |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468451712 |
| Phone Number | 2602668213 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
| Licence No | 01025414A |
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Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100138540 | IN | -- | |
| 641091 | IN | ANTHEM | |
| 60070554 | IN | RR MEDICARE | |
| 509079 | OH | -- | |
| P00782366 | IN | R.R. MEDICARE |
Post Comment/ Review Below
What is the Michael J Mirro's 1053303222?
The Michael J Mirro's NPI (National Provider Identifier) Number is 1053303222. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the Michael J Mirro's specialty and taxonomy code?
The Michael J Mirro's specialty is Geriatric Medicine, and the corresponding taxonomy code is 207Rg0300X.
What is the area of specialization for Michael J Mirro, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael J Mirro is Geriatric Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Rg0300X.
When was the Michael J Mirro's 1053303222 issued?
The Michael J Mirro's 1053303222 was issued on 2005-08-15.
On what date did the Centers for Medicare & Medicaid Services issue the 1053303222 to Michael J Mirro?
The Michael J Mirro received its 1053303222 assignment from the Centers for Medicare & Medicaid Services on 2005-08-15.