DR. GLENN MILLER (NPI# 1174697346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174697346 |
| Entity Type | Individual |
| Full Name | DR. GLENN MILLER |
| Credential | M.D. |
| Practice Address |
2410 S Broad St 3rd Flr Philadelphia PA 19145-4418 |
| Mailing Address |
3831 Ramage Run Huntingdon Valley PA 19006-2453 |
| Practice Telephone | 2154626600 |
| Practice Fax Number | 2154622650 |
| Mailing Telephone | 2159380254 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD033553E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 011223020 | 05 | |
| NJ | AMERIHEALTH MERCY | 20033920 | 01 |
| PA | BRAVO BY ELDER HEALTH | 3039 | 01 |
| PA | KEYSTONE MERCY | 30003770 | 01 |
| NJ | AMERIHEALTH ADMINISTRATOR | 517607 | 01 |
| PA | RR MEDICARE | 050088759 | 01 |
| NJ | HORIZON NJ HEALTH | 30003770 | 01 |
| NJ | AMERIHEALTH PC & HMO | 0111120000 | 01 |
| PA | AETNA | 2992866 | 01 |
| PA | ALL BLUE SHIELD | 517607 | 01 |
| PA | ALL IBC PRODUCTS | 0112230205 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457815219 | Glenn K Miller | Massage Therapist | 231 S Washington Ave, Newport, WA 99156-9670 | 2019-01-25 |
| 1902108764 | Glenn Edward Miller | Obstetrics & Gynecology | 1431 Ocean Avenue, #720, Santa Monica, CA 90401-2148 | 2010-11-30 |
| 1780991000 | Glenn R Miller | Chiropractor | 2901 Druid Park Dr Ste 106, Ashburton Chiropractic, Baltimore, MD 21215-8172 | 2010-09-08 |
| 1487820163 | Glenn Miller Jr. | Family Medicine | 700 Fayette St, Conshohocken, PA 19428-1701 | 2008-05-02 |
| 1760676043 | Glenn Miller | Technician/Technologist | 845 Columbia Ave, Suite A, Lancaster, PA 17603-3224 | 2007-08-30 |
| 1871786079 | Glenn Howard Miller | Psychiatry & Neurology | 8213 Tomlinson Ave, Bethesda, MD 20817-4413 | 2007-08-21 |
| 1841410974 | Glenn Paul Miller | Dentist | 11550 Philadelphia Road Suite #118, Whitemarsh, MD 21162 | 2007-04-30 |
| 1265650196 | Glenn Elliott Miller | Psychiatry & Neurology | 629 State St Ste 245, Santa Barbara, CA 93101-7074 | 2007-04-23 |
| 1922198118 | Glenn A Miller | Oral & Maxillofacial Surgery | 10200 West Main Street, Signal Hill Medical Building, Belleville, IL 62223-1495 | 2006-10-16 |
| 1265456602 | Glenn R Miller | Podiatrist | 7101 S Staples St Ste 103, Corpus Christi, TX 78413-5543 | 2006-07-27 |
| Street Address |
2410 S BROAD ST 3RD FLR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19145-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689993339 | Robert Keith Moser | Physician Assistant | 2410 S Broad St, 3rd Floor, Philadelphia, PA 19145-4418 | 2010-05-20 |
| 1245306489 | Spinal Care Pain Associates, P.C. | Pain Medicine | 2410 S Broad St, 3rd Floor, Philadelphia, PA 19145-4418 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564350 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2300a Rear W Oregon Ave, Philadelphia, PA 19145 | 2020-10-05 |
| 1376069559 | Kyle James Hughes | Physical Therapist | 2192 W Oregon Ave Fl 3, Philadelphia, PA 19145 | 2017-08-18 |
| 1821519752 | John A Takacs Dmd | Clinic/Center | 1707w Passyunk Ave, Philadelphia, PA 19145 | 2017-06-30 |
| 1033573209 | Kenneth Donahue | Dentist | 1517 Packer Avenue, Philadelphia, PA 19145 | 2016-04-13 |
| 1437516895 | Kimberly Wyand | Physical Therapist | 2129 Oregon St, Philadelphia, PA 19145 | 2016-01-15 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| 1528333846 | Gina Marie Doyle | Registered Nurse | 1930 S. Broad Street, Philadelphia, PA 19145 | 2012-03-20 |
| 1639446214 | Thao T Tran | Pharmacist | 2014-24 South Broad St, Philadelphia, PA 19145 | 2011-11-25 |
| 1649573171 | Phyllis Yang | Internal Medicine | 1700 S Broad St, Unit 201, Philadelphia, PA 19145 | 2010-12-05 |
| 1326364613 | South Philadelphia Open Mri, LLC | Clinic/Center | 1834 West Oregon Avenue, Philadelphia, PA 19145 | 2010-04-13 |
| Find all providers in zip 19145 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932518669 | Pharo Pain Management Asociates, P.C. | Anesthesiology | 829 Spruce St Ste 308, Philadelphia, PA 19107-5752 | 2014-08-06 |
| 1992137103 | Anish Sethi | Anesthesiology | 834 Chestnut St Ste T150, Philadelphia, PA 19107 | 2013-07-30 |
| 1407299902 | Mina Ghaly | Anesthesiology | 1200 W Tabor Rd Fl 4, Philadelphia, PA 19141-3019 | 2013-04-15 |
| 1548203839 | Uplekh Purewal | Anesthesiology | 9815 Roosevelt Blvd, Philadelphia, PA 19114-1011 | 2006-06-14 |
| 1326033994 | Koenigsberg & Associates Pain Management LLC | Anesthesiology | 2222 S Broad St, Philadelphia, PA 19145-3948 | 2005-09-20 |
| 1689666315 | Pain Care Professionals, Inc. | Anesthesiology | Hahnemann University Hospital Pain Clinic, Broad & Vine St., 4th Floor South Tower, Philadelphia, PA 19096 | 2005-08-18 |
| 1407339187 | Temple Faculty Practice Plan, Inc | Anesthesiology | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-10 |
| 1144600073 | Daniel Lavi Southren | Anesthesiology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2015-06-05 |
| 1477968014 | Advanced Spine and Pain of Pa, LLC | Anesthesiology | 2000 Grant Ave, Suite 103, Philadelphia, PA 19115-4378 | 2014-06-23 |
| 1205246576 | Einstein Practice Plan, Inc. | Anesthesiology | 1200 W Tabor Rd, Moss Rehab Building, 4th Floor, Philadelphia, PA 19141-3019 | 2014-05-07 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19145 |
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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.