Dr Joseph Mirro Jr, MD | |
200 N Park St, West Michigan Cancer Center, Kalamazoo, MI 49007-3731 | |
(269) 910-6555 | |
(269) 384-8610 |
Full Name | Dr Joseph Mirro Jr |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Hematology-oncology |
Location | 200 N Park St, Kalamazoo, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427051200 | NPI | - | NPPES |
200179770A | Medicaid | IN | |
64712789 | Medicaid | KY | |
1534722 | Medicaid | LA | |
00118886 | Medicaid | MS | |
133070001 | Medicaid | AR | |
1427051200 | Medicaid | MI | |
1447261730 | Other | MI | BCBS - WMCC |
Q13553 | Medicaid | SC | |
0528836 | Medicaid | IA | |
100025910A | Medicaid | OK | |
209684901 | Medicaid | MO | |
060495101 | Medicaid | TX | |
1135121 00 | Medicaid | WY | |
100249681-00 | Medicaid | NE | |
422400000 | Medicaid | ME | |
009914380 | Medicaid | AL | |
3821400 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0207X | Pediatrics - Pediatric Hematology-oncology | 13553 (Tennessee) | Primary |
2080P0207X | Pediatrics - Pediatric Hematology-oncology | 4301100173 (Michigan) | Secondary |
Entity Name | West Michigan Cancer Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447261730 PECOS PAC ID: 8628971199 Enrollment ID: O20040130000961 |
Mailing Address | Practice Location Address |
---|---|
Dr Joseph Mirro Jr, MD 200 N Park St, West Michigan Cancer Center, Kalamazoo, MI 49007-3731 Ph: (269) 910-6555 | Dr Joseph Mirro Jr, MD 200 N Park St, West Michigan Cancer Center, Kalamazoo, MI 49007-3731 Ph: (269) 910-6555 |
Nancy J Hilleren, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6210 W Main St, Kalamazoo, MI 49009 Phone: 269-286-7030 | |
Martin B Draznin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-6430 | |
Dr. Erica Vanderkooy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-6400 | |
Randall L Dyk, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5629 Stadium Dr, Kalamazoo, MI 49009 Phone: 269-372-1000 Fax: 269-372-0698 | |
Sonia Lynn Joychan, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-4400 | |
Robin Pierucci, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 John St, Box 41, Kalamazoo, MI 49007 Phone: 269-341-6469 Fax: 269-341-6236 | |
Cinthya G. Melendez Contreras, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 117 W Paterson St, Kalamazoo, MI 49007 Phone: 269-349-2641 |