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Deactivated NPI 1366447443 Deactivated / Inactive NPI Male Practitioner

Dr. Prospero Mccalling Miranda , MD

Surgery • Salem, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Prospero Miranda has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 16, 2005
NPI Deactivation Date March 18, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Prospero Miranda, MD was a registered Surgery practicing in Salem, VA. Throughout an active medical career spanning 1 years, Dr. Miranda provided care at the practice location at 1970 ROANOKE BLVD until profile deactivation on 2006-03-18.

Practice Location & Contact Primary Location

Practice Address

1970 Roanoke Blvd

Salem, VA 241536404

Telephone 5409822463
Associated Practice Facility / Clinic
🏢 Salem Vamc Facility NPI 1033177597

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Salem, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.9 Yrs
State Avg: 24.6 Yrs
Regional Practice Density
19 Specialists

Practicing in Salem, VA (909 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101021390

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License VA 0101021390

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
007338571 (VA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003031873

Master of Social Work, Academy of Certified Social Workers, Licensed Clinical Social Worker

NPI 1003138348

Doctor of Pharmacy (Pharm.D.)

Dr. James Paarlberg , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1003204280

Doctor of Pharmacy (Pharm.D.)

NPI 1003268582

Doctor of Pharmacy (Pharm.D.)

Dr. Lauren Hagemann , PhD

Psychologist - Clinical

NPI 1003364753

Doctor of Philosophy (Ph.D.)

Tanya Willard , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1003465865

NURSEPRACTITIONER

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location April 27, 2010

Registered at 1970 ROANOKE BLVD, SALEM, VA 241536404 (Tel: 5409822463)

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Updated Business Mailing Address April 27, 2010

Registered at 1970 ROANOKE BLVD, SALEM, VA 241536404 (Tel: 5409822463)

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Provider Name / Credentials Updated April 27, 2010

Recorded as PROSPERO MIRANDA, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2010

Emergency Medicine (License #0101021390 in VA)

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NPI Profile Reactivated April 04, 2006

Record officially reactivated for active practice on April 04, 2006

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NPI Profile Deactivated March 18, 2006

Record deactivated on March 18, 2006

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Initial NPI Registration & Enumeration June 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366447443
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2005
Last Update: April 27, 2010
Deactivation Date: March 18, 2006
Sole Proprietor: No

Mailing Address

1970 Roanoke Blvd

Salem, VA 241536404

Phone: 5409822463

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.