DR. ROGER T MILLER (NPI# 1184725269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184725269 |
Entity Type | Individual |
Full Name | DR. ROGER T MILLER |
Credential | DC |
Practice Address |
1723 Tenth St Ste 100 Peru IL 61354 |
Practice Telephone | 8152232535 |
Practice Fax Number | 8152232633 |
Mailing Telephone | 8152232535 |
Mailing Fax Number | 8152232633 |
Enumeration Date | 2006-09-25 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BLUE CROSS BLUE SHIELD | 05006268 | 01 |
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 |
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 |
1114485901 | Roger Dale Miller Jr. | Case Manager/Care Coordinator | 178 Private Dr. 19423, South Point, OH 45680 | 2019-03-11 |
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 |
1723 TENTH ST STE 100 |
City | PERU |
State | IL |
Zip Code | 61354 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
1205469483 | Illinois Valley Community Hospital | Registered Nurse | 1403 Sixth Street, Peru, IL 61354 | 2020-02-17 |
1689228322 | Zhong Xue | Dentist | 5301 Il-251, Ste A, Peru, IL 61354 | 2019-07-31 |
1003281668 | Christopher Shane Smith | Physical Therapist | 1400 Midtown Road, Peru, IL 61354 | 2015-12-08 |
1770823197 | Muscle Pain Clinic Inc | Chiropractor | 4231 Progress Blvd Ste 4, Peru, IL 61354 | 2013-02-21 |
1306194451 | Vijaya Lakshmi Bathina | Dentist | 5301 Route 251, Peru, IL 61354 | 2012-08-21 |
1225305634 | Walgreens | Point of Service | 1033 Shooting Park Road, Peru, IL 61354 | 2011-11-30 |
1811293574 | Charles Riva | Physical Therapist | 4461 N. Progress Blvd., Peru, IL 61354 | 2011-01-28 |
1932403896 | Emerging Vision, Inc | Eyewear Supplier (Equipment, not the service) | 3940 Route 251, Peru Mall Suite F-1, Peru, IL 61354 | 2011-01-06 |
1457668170 | Illinois Valley Community Hospital | Nurse Practitioner | 5307 Route 251, Peru, IL 61354 | 2010-09-01 |
Find all providers in zip 61354 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265976641 | Katrina Mcquilkin | Chiropractor | 3815 Progress Blvd Ste C, Peru, IL 61354-1188 | 2016-12-05 |
1477910776 | Vibrant Chiropractic, LLC | Chiropractor | 6247 S Pipe Creek Mill Rd, Peru, IN 46970-7795 | 2016-01-19 |
1770823197 | Muscle Pain Clinic Inc | Chiropractor | 4231 Progress Blvd Ste 4, Peru, IL 61354 | 2013-02-21 |
1407030901 | Will A Zuhira | Chiropractor | 944 4th St, Peru, IL 61354-3614 | 2007-12-20 |
1225232283 | Advanced Integrative Medicine and Chiropractice Wellness Center PC | Chiropractor | 82 E 3rd St, Peru, IN 46970-2213 | 2007-06-13 |
1043335078 | Mark William Larsen | Chiropractor | 7 N Wabash St, Peru, IN 46970-2224 | 2007-03-20 |
1669596011 | Lori Rynke | Chiropractor | 2415 2nd St, Peru, IL 61354-3101 | 2007-03-19 |
1447385059 | Jon E. Reibly | Chiropractor | 210 Boulevard, Peru, IN 46970-1620 | 2007-02-22 |
1013014778 | Timothy John Mertes | Chiropractor | 2011 Rock St, Suite F, Peru, IL 61354-1385 | 2006-09-17 |
1982610978 | Ryan Jeffrey Smith | Chiropractor | 1104 Peoria St, Peru, IL 61354-2642 | 2006-07-31 |
Find all providers in PERU |
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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.