| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MIRACLE MEDICAL LLC | 1225644701 | 2020-09-19 |
The organization Miracle Medical Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1225644701. Registration indicates Miracle Medical Llc is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians) Access to OB/GYN (Allopathic & Osteopathic Physicians, Obstetrics & Gynecology) (Allopathic & Osteopathic Physicians, Obstetrics & Gynecology) (Obstetrics & Gynecology: Obstetrics, ) (Specialist Network, ) (Obstetrics & Gynecology Obstetrics, Allopathic & Osteopathic Physicians) (Obstetrics & Gynecology, )
| Code | Practice | License No State |
|---|---|---|
| 207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | |
| 207VX0000X | Access to OB/GYN Allopathic & Osteopathic Physicians Obstetrics & Gynecology Allopathic & Osteopathic Physicians Obstetrics & Gynecology Obstetrics & Gynecology: Obstetrics Specialist Network Obstetrics & Gynecology Obstetrics Allopathic & Osteopathic Physicians Obstetrics & Gynecology |
| 766166500 | MEDICAID | MD |