EVAN MARK MILLER (NPI# 1073076634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073076634 |
| Entity Type | Individual |
| Full Name | EVAN MARK MILLER |
| Practice Address |
One Medical Center Boulevard Winston Salem NC 27157-0001 |
| Mailing Address |
2300 Overlook Rd Apt 201 Cleveland Heights OH 44106-2346 |
| Practice Telephone | 3367162011 |
| Mailing Telephone | 7654612138 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518586601 | Evan G Miller | Dentist | 1065 West Perimeter Road, Jb Andrews, MD 20762-4320 | 2020-04-09 |
| 1902445463 | Evan Miller | Counselor | 7432 Darblay St, Huntersville, NC 28078-1002 | 2020-01-02 |
| 1447858568 | Evan Miller | Counselor | 1100 Adams Ave, Philadelphia, PA 19124-3101 | 2020-10-12 |
| 1255893996 | Evan Miller | Case Manager/Care Coordinator | 1301 N High St, Columbus, OH 43201-2460 | 2019-04-02 |
| 1811471303 | Evan Miller | Nurse Practitioner | 8803 S 101st East Ave, Ste 100, Tulsa, OK 74133-7546 | 2018-09-20 |
| 1992225221 | Evan C Miller | Counselor | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2017-06-27 |
| 1366843690 | Evan Miller | Counselor | 3500 Lakeside Ct Ste 101, Reno, NV 89509-4862 | 2014-09-05 |
| 1356616858 | Evan Miller | Emergency Medicine | 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2012-03-16 |
| 1982839296 | Evan T Miller | Anesthesiology | 4725 Statesmen Dr, Ste. C-d, Indianapolis, IN 46250-5644 | 2009-05-16 |
| 1174772198 | Evan C Miller | Pathology | 895 Sw 30th Ave, Suite 101, Pompano Beach, FL 33069-4887 | 2008-09-15 |
| Street Address |
ONE MEDICAL CENTER BOULEVARD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27157-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536509 | Wakeforest Baptist Medical Center | Student in an Organized Health Care Education/Training Program | One Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2020-04-06 |
| 1821626581 | Mark Dewsnup | Student in an Organized Health Care Education/Training Program | One Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2020-03-30 |
| 1881157790 | Paul Marcet | Student in an Organized Health Care Education/Training Program | One Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2019-04-08 |
| 1205398245 | Alison Cegielski Redding | Student in an Organized Health Care Education/Training Program | One Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2019-04-01 |
| 1740742683 | Jonathan Robert Redding | Student in an Organized Health Care Education/Training Program | One Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2019-04-01 |
| 1831650936 | Carolyn Alden Foster | Student in an Organized Health Care Education/Training Program | One Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2019-03-29 |
| 1013478171 | Kyle Matthew Atcheson | Student in an Organized Health Care Education/Training Program | One Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2019-03-29 |
| 1689162489 | Kyle Robert Sebastian | Student in an Organized Health Care Education/Training Program | One Medical Center Boulevard, Winston Salem, NC 27103 | 2018-04-26 |
| 1154828952 | Jillian Rau | Student in an Organized Health Care Education/Training Program | One Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2018-04-09 |
| 1275038812 | Whitney Elizabeth Muhlestein | Student in an Organized Health Care Education/Training Program | One Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2018-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960241 | Alexandra Marie Balmaceda | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 | 2020-04-02 |
| 1164916680 | Jorie Elizabeth Gatts | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 | 2018-06-18 |
| 1932606555 | Alexi Rae Ellington Webb | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-04-10 |
| 1851896674 | Wasim Muhammad | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-03-25 |
| 1336643535 | Phillip Martin Kostelic | Student in an Organized Health Care Education/Training Program | Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 | 2018-03-21 |
| 1831693324 | Aleah Bond | Student in an Organized Health Care Education/Training Program | Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 | 2018-03-20 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1023467529 | Edward John Doyle IIi | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 | 2016-06-07 |
| 1477917888 | Jordan Mae Burner | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 | 2016-04-12 |
| 1174900476 | Kate Elise Winterbottom | Speech-Language Pathologist | 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 | 2015-05-06 |
| Find all providers in zip 27157 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659747 | Lakisha Henry-simmons | Student in an Organized Health Care Education/Training Program | 4298 Falcon Rd, Winston Salem, NC 27106-9425 | 2020-11-03 |
| 1366040503 | William Tommy Sparks | Student in an Organized Health Care Education/Training Program | 1012 S Hawthorne Rd, Winston Salem, NC 27103-4419 | 2020-10-10 |
| 1386258432 | Valerie Miller | Student in an Organized Health Care Education/Training Program | 601 Mlk Jr Dr, Winston Salem, NC 27110-0001 | 2020-09-05 |
| 1942814074 | Joyous Hawkins | Student in an Organized Health Care Education/Training Program | 601 S Martin Luther King, Winston Salem, NC 27110-0001 | 2020-09-05 |
| 1326652504 | Emily Claire Skoglund | Student in an Organized Health Care Education/Training Program | 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110-0001 | 2020-09-03 |
| 1750903233 | Rachel Elizabeth Crespi | Student in an Organized Health Care Education/Training Program | 3517 Summerfield Ln, Winston Salem, NC 27106-4295 | 2020-05-07 |
| 1023639325 | Christopher Gregg Marler Jr. | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd Winston-salem N Surgery Clinic, Winston Salem, NC 27157-0001 | 2020-04-28 |
| 1912526005 | Hunter Bright Yancey | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center 1 Me, Winston Salem, NC 27157-0001 | 2020-04-09 |
| 1033748371 | Chukwuweike U Gwam | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Medical Center Boul, Winston Salem, NC 27157-0001 | 2020-04-08 |
| 1386273175 | Mehrnoosh Ghandili | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Health One Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-04-03 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27157 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.