DESIREE Y MILLER (NPI# 1154538064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154538064 |
| Entity Type | Individual |
| Full Name | DESIREE Y MILLER |
| Other Name | DESIREE Y CRAVENS |
| Credential | PA-C |
| Practice Address |
340 W Lincoln St Suite#300 Belleville IL 62220-1900 |
| Practice Telephone | 6182354883 |
| Practice Fax Number | 6182359563 |
| Mailing Telephone | 6182354883 |
| Mailing Fax Number | 6182359563 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780246520 | Desiree Miller | Behavior Technician | 5454 Lithia Pinecrest Rd, Lithia, FL 33547-2853 | 2019-07-02 |
| 1710548797 | Desiree Miller | Behavior Technician | 39 E Franklin St, Hagerstown, MD 21740-4914 | 2019-06-21 |
| 1952742215 | Desiree D Miller | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2013-07-15 |
| Street Address |
340 W LINCOLN ST SUITE#300 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62220-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477558922 | John A. Hucker | Obstetrics & Gynecology | 340 W Lincoln St, Ste 560, Belleville, IL 62220-1900 | 2005-06-20 |
| 1609313758 | Marianne Guthrie | Nurse Practitioner | 340 W Lincoln St, 200, Belleville, IL 62220-1900 | 2017-01-27 |
| 1841683133 | Kathryn Liermann | Physician Assistant | 340 W Lincoln St, Suite 540, Belleville, IL 62220-1900 | 2015-03-10 |
| 1447686886 | Amelia Gerke | Physician Assistant | 340 W Lincoln St, Suite 540, Belleville, IL 62220-1900 | 2013-09-17 |
| 1811286305 | Sherry Tindall | Nurse Practitioner | 340 W Lincoln St, Suite 400, Belleville, IL 62220-1900 | 2011-04-05 |
| 1427204965 | Elizabeth Renaker-jansen | Plastic Surgery | 340 W Lincoln St, Suite 500, Belleville, IL 62220-1900 | 2008-08-15 |
| 1528214624 | Vidya Shankaran | Plastic Surgery | 340 W Lincoln St, Ste 500, Belleville, IL 62220-1900 | 2008-08-08 |
| 1811188949 | Kristina Naseer | Anesthesiology | 340 W Lincoln St, Suite 200, Belleville, IL 62220-1900 | 2007-08-05 |
| 1700962271 | Lincoln Surgical Group | Surgery | 340 W Lincoln St, Suite 500, Belleville, IL 62220-1900 | 2006-10-27 |
| 1487755518 | Girish R Mood | Internal Medicine | 340 W Lincoln St, Suite 400, Belleville, IL 62220-1900 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144729716 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order Of | Clinic/Center | 180 South Third Street Suite 101, Belleville, IL 62220 | 2018-02-08 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1629527650 | Arika Forrest | Nurse Practitioner | 140 Iowa Ave, Belleville, IL 62220 | 2016-10-03 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1962871558 | Antony Frierdich | Specialist/Technologist | 22 South 13th Street, Belleville, IL 62220 | 2015-09-24 |
| 1588032858 | Dana Wright | Pharmacist | 211 South Thrid Street, Belleville, IL 62220 | 2015-09-03 |
| 1629208731 | Lisa Marlow Johnson | Developmental Therapist | 34 Fenwood Dr, Belleville, IL 62220 | 2009-07-23 |
| 1841361623 | Neurological Surgery of Belleville | Neurological Surgery | 340 West Lincoln Street, Suite 540, Belleville, IL 62220 | 2006-11-13 |
| 1689769119 | Kathy Jo Corn | Counselor | 521 W. Main, Suite 201 B, Belleville, IL 62220 | 2006-10-03 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| Find all providers in zip 62220 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528506557 | Amber Alicia Mcclure | Physician Assistant | 1710 Shadow Ridge Ct, Apt F, Belleville, IL 62221-3962 | 2017-02-09 |
| 1639527187 | Wadler Fleurina | Physician Assistant | 11650 Belleville Rd #101, Belleville, MI 48111 | 2016-05-25 |
| 1477971794 | Molly Marie Murray | Physician Assistant | 1 Clara Maass Dr., Belleville, NJ 07109 | 2014-04-03 |
| 1134466485 | Corey A Brooks | Physician Assistant | 180 S 3rd St Ste 104, Belleville, IL 62220-1952 | 2013-01-07 |
| 1497037634 | Melissa Hawkins | Physician Assistant | 1 Clara Mass Drive, Wound Center, Belleville, NJ 07109 | 2011-09-14 |
| 1013070440 | Kim C Wrigley | Physician Assistant | 4700 Memorial Dr Ste 340, Belleville, IL 62226-5373 | 2006-12-18 |
| 1801866462 | Irina Polansky | Physician Assistant | 130 Lincoln Place Ct, Belleville, IL 62221-5884 | 2006-01-25 |
| 1831183334 | Courtney M Mcfarlin | Physician Assistant | 2129 W Main St, Belleville, IL 62226-6666 | 2005-09-12 |
| 1518592203 | Daniela Vetan-zlibut | Physician Assistant | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2020-03-03 |
| 1396377289 | Kathryn Cook | Physician Assistant | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2020-02-07 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62220 |
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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.