Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Mirocke, MD

Individual provider Emergency Medicine Physician · NPI 1174017958

Andrew Mirocke, MD is an Emergency Medicine in Jonesboro, Arkansas. Qualified in 2017, 9 years ago. Practices with Southeastern Emergency Physicians LLC, a 786-clinician group and accepts Medicare assignment. Licensed in Kentucky and Michigan.

Years since qualifying
9
Licensed in
KY, MI
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

225 E Jackson Ave
Jonesboro, AR 72401-3119
Phone: (870) 207-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4301115689 (MI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 58430 (KY)

Record details

NPI number1174017958
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2018
Last updated in NPPESApril 11, 2024
Certification dateApril 11, 2024
Mailing address225 E Jackson Ave, Jonesboro, AR 72401-3119

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Southeastern Emergency Physicians Llc — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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