MR. JEREMY S MILLER


Address: 3507 Midway School Rd, Winston Salem, NC 27107-8741
Phone: 3364748280

MR. JEREMY S MILLER (NPI# 1093138307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093138307
Entity Type Individual
Full Name MR. JEREMY S MILLER
Credential LAT, ATC
Practice Address 3507 Midway School Rd
Winston Salem
NC 27107-8741
Practice Telephone 3364748280
Practice Fax Number 3364748285
Mailing Telephone 3364748280
Mailing Fax Number 3364748285
Enumeration Date 2014-01-23
Last Update Date 2018-03-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
1903 NC Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers JEREMY MILLER

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1831728443 Jeremy Brian Miller Student in an Organized Health Care Education/Training Program 1900 Electric Rd, Salem, VA 24153-7494 2020-04-06
1114551181 Jeremy Christian Miller Student in an Organized Health Care Education/Training Program 800 Rose St, Lexington, KY 40506-0001 2020-02-27
1306499918 Jeremy D Miller Specialist/Technologist 5151 Park Ave, Fairfield, CT 06825-1090 2019-07-23
1528554409 Jeremy Eugene Miller Massage Therapist 4729 County Road 101, Minnetonka, MN 55345-2634 2018-07-03
1932615010 Jeremy Miller Student in an Organized Health Care Education/Training Program 600 N Wolfe St, Baltimore, MD 21287-0005 2017-12-27
1912436445 Jeremy Wilson Miller Physical Therapist 3121 E Madison St Ste 201, Seattle, WA 98112-4259 2017-06-08
1861938540 Jeremy Miller Counselor 165 Quincy St, Brockton, MA 02302-2988 2017-01-18
1740738368 Jeremy Anson Miller Chiropractor 2201 62nd Ave N, St Petersburg, FL 33702-5660 2016-09-12

Office Location

Street Address 3507 MIDWAY SCHOOL RD
City WINSTON SALEM
State NC
Zip Code 27107-8741

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912529934 Calvin Woodrow Keller Specialist/Technologist 3507 Midway School Rd, Winston Salem, NC 27107-8741 2020-05-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154934727 Sreto Duric Physical Therapy Assistant 3863 Robbins Brook Dr, Winston Salem, NC 27107 2020-08-24
1164936852 Lindsay Webster Physician Assistant 10479 Nc-109, 107a, Winston Salem, NC 27107 2017-11-17
1447592209 Vinson Psychological Services, Pllc Psychologist 4236 Sherlie Weavil Rd, Winston Salem, NC 27107 2013-03-20
1629212501 Benicia Elaine Cleveland Specialist/Technologist 1250 S Martin Luther King Jr. Drive, Winston-salem State University, Winston-salem, NC 27107 2009-04-23
1083714364 Lia Simpson Erickson Pediatrics 648 East Monmouth Street, Winston Salem, NC 27107 2006-09-25
1336242973 North Carolina Cvs Pharmacy LLC Pharmacy 10478 N Nc Hwy 109, Wallburg, NC 27107 2006-09-07
1154816312 Janel Rebecca Durham Nurse Practitioner 10479 N Nc Highway 109 Ste 107a, Winston Salem, NC 27107 2018-06-28
1861929523 Southside United Health Centers Social Worker 3009 Waughtown St, Winston Salem, NC 27107 2017-05-12
1407011398 Ashley Rose Hill Nurse Practitioner 648 East Monmouth Street, Winston Salem, NC 27107 2008-07-21
1518157247 Ellen R. Robinson Pediatrics 648 East Monmouth Street, Winston Salem, NC 27107 2007-07-30
Find all providers in zip 27107

Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538654090 Elizabeth Louise Watson Specialist/Technologist 257 Holmes Dr, Winston Salem, NC 27127-9150 2018-06-27
1215444690 Margaret Elizabeth Vaughn Specialist/Technologist 5813 Luxbury Ct, Winston Salem, NC 27104-3374 2018-01-06
1750817524 Stephen White Specialist/Technologist 5304 Quail Wood Dr Apt H, Winston Salem, NC 27104-5505 2017-05-11
1255718904 John Kober Specialist/Technologist 1109 Stafford Place Cir Apt 302, Winston Salem, NC 27127-6884 2015-05-01
1629472667 Stephen Andrews Specialist/Technologist 2054 Craig St, Winston Salem, NC 27103-2613 2014-10-20
1417361882 Matthew Fortune Specialist/Technologist 5705 Shattalon Dr, Winston Salem, NC 27105-1332 2014-06-13
1902220379 John Lavender Specialist/Technologist 1250 S Martin Luther King Jr Dr, Winston Salem, NC 27107-1370 2014-02-06
1932522992 Kathryn Martin Specialist/Technologist 3545 Carver School Rd, Winston Salem, NC 27105-4033 2014-01-28
1780824565 Sarah Muslim Specialist/Technologist 1835 Legacy Park Apt 304, Winston Salem, NC 27103-5792 2009-03-06
1629005657 Darrell Matthew Turner Specialist/Technologist 601 S Martin Luther King Jr Dr, Winston Salem, NC 27110-0003 2006-06-26
Find all providers in WINSTON SALEM

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City WINSTON SALEM
Zip Code 27107

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Dataset Information

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.

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