MR. ROGER DALE MILLER JR. (NPI# 1114485901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114485901 |
| Entity Type | Individual |
| Full Name | MR. ROGER DALE MILLER JR. |
| Practice Address |
178 Private Dr. 19423 South Point OH 45680 |
| Practice Telephone | 7404510741 |
| Practice Fax Number | 7408941132 |
| Mailing Telephone | 7404510741 |
| Mailing Fax Number | 7408941132 |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 1 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487865531 | Roger A Miller | Chiropractor | 1495 Rymco Dr, Suite 107, Winston Salem, NC 27103-2947 | 2007-05-24 |
| 1902970734 | Roger Duane Miller | Dentist | 811 West Grand River Ave, Portland, MI 48875 | 2006-11-20 |
| 1184725269 | Roger T Miller | Chiropractor | 1723 Tenth St, Ste 100, Peru, IL 61354 | 2006-09-25 |
| 1720196082 | Roger Irving Miller | Pharmacist | 802 Doyle St E, Toccoa, GA 30577-2007 | 2006-08-28 |
| 1306866553 | Roger K Miller | Dentist | 1303 Plaza Dr., Kings Mountain, NC 28086 | 2006-07-20 |
| 1558304790 | Roger J Miller | Physical Therapist | 6464 Sw Borland Rd Ste B5, Tualatin, OR 97062-8859 | 2006-06-14 |
| 1679527410 | Roger Miller | Optometrist | 6527 S Tamiami Trl, Sarasota, FL 34231-4827 | 2006-05-19 |
| 1780688523 | Roger W Miller | Otolaryngology | 2095 Exchange St, Suite #201, Astoria, OR 97103-3417 | 2005-06-09 |
| 1285085936 | Roger Dale Miller | Dentist | 2107 E Walnut Ave, Dalton, GA 30721-4552 | 2016-06-23 |
| 1568630341 | Roger Alan Miller | Social Worker | 15 Audubon Dr, Asheville, NC 28804-1201 | 2008-02-14 |
| Street Address |
178 PRIVATE DR. 19423 |
| City | SOUTH POINT |
| State | OH |
| Zip Code | 45680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336502194 | Alyssa Fenner Harwood | Counselor | 178 Private Dr. 19423, South Point, OH 45680-8831 | 2016-03-30 |
| 1962050898 | Taricka Nicole Cobern | Case Management | 178 Private Dr. 19423, South Point, OH 45680 | 2019-09-04 |
| 1811473549 | Tasha Nicole Hall | Case Manager/Care Coordinator | 178 Private Dr. 19423, South Point, OH 45680 | 2018-07-16 |
| 1891283032 | Garrett Walker | Case Manager/Care Coordinator | 178 Private Dr. 19423, South Point, OH 45680 | 2018-04-24 |
| 1104313998 | Tammy Lynn Stevens | Case Manager/Care Coordinator | 178 Private Dr. 19423, South Point, OH 45680 | 2018-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021319 | Allison R Nolan Phillips | Nurse Practitioner | 335 Jefferson Ave, South Point, OH 45680 | 2020-07-23 |
| 1275099384 | Jennifer Lynn Ellsworth | Case Manager/Care Coordinator | 178 Private Dr # 19423, South Point, OH 45680 | 2019-02-13 |
| 1639640931 | Kyle Allen Mcknight | Case Manager/Care Coordinator | 178 Private Dr 19423, South Point, OH 45680 | 2018-12-12 |
| 1538639315 | Allyson Faith Fluty | Physical Medicine & Rehabilitation | 335 Jefferson Avenue, South Point, OH 45680 | 2018-12-05 |
| 1205302304 | Marielle Madden | Social Worker | 178 Private Drve 19423, South Point, OH 45680 | 2018-10-17 |
| 1841782018 | Demian Byrne | Counselor | 49 Twsp Rd 365, South Point, OH 45680 | 2018-06-04 |
| 1104317239 | Janie Rose Morris | Case Manager/Care Coordinator | 178 Private Road 29423, South Point, OH 45680 | 2018-05-24 |
| 1043737224 | Fred Timothy Jones | Counselor | 178 Private Drive 19423, South Point, OH 45680 | 2017-08-28 |
| 1225230311 | Janet Sue White | Occupational Therapy Assistant | County Road 1, South Point, OH 45680 | 2007-06-01 |
| 1417161290 | Alicia K Wilson | Home Health Aide | 1035 Country Rd 1, Apt 253, South Point, OH 45680 | 2007-05-10 |
| Find all providers in zip 45680 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275099384 | Jennifer Lynn Ellsworth | Case Manager/Care Coordinator | 178 Private Dr # 19423, South Point, OH 45680 | 2019-02-13 |
| 1639640931 | Kyle Allen Mcknight | Case Manager/Care Coordinator | 178 Private Dr 19423, South Point, OH 45680 | 2018-12-12 |
| 1104317239 | Janie Rose Morris | Case Manager/Care Coordinator | 178 Private Road 29423, South Point, OH 45680 | 2018-05-24 |
| 1639667892 | Rachael K Jones | Case Manager/Care Coordinator | 202 Park Ave Apt 3, South Point, OH 45680-8629 | 2018-04-24 |
| 1770608242 | Deborah Mullins | Case Manager/Care Coordinator | 203 Delores Ave, South Point, OH 45680-9503 | 2007-03-20 |
| 1164023958 | Gregory Sowards | Case Manager/Care Coordinator | 178 Private Road 19423, South Point, OH 45680-8831 | 2020-11-06 |
| 1407469299 | Daniella Parent | Case Manager/Care Coordinator | 178 Private Road 19423, South Point, OH 45680-8831 | 2020-08-31 |
| 1184247413 | Rebekah Lou Roth | Case Manager/Care Coordinator | 178 Private Road 19423, South Point, OH 45680-8831 | 2020-05-21 |
| 1548896012 | Maranda R Roush | Case Manager/Care Coordinator | 178 Private Road 19423, South Point, OH 45680-8831 | 2020-03-17 |
| 1447881412 | Benjamin Holbrook Denson | Case Manager/Care Coordinator | 178 Private Road 19423, South Point, OH 45680-8831 | 2020-01-29 |
| Find all providers in SOUTH POINT | ||||
| City | SOUTH POINT |
| Zip Code | 45680 |
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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.