DR. JAMES R MILLER (NPI# 1215936737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215936737 |
| Entity Type | Individual |
| Full Name | DR. JAMES R MILLER |
| Credential | M.D. |
| Practice Address |
1753 Fulton St Elkhart IN 46514-1927 |
| Mailing Address |
Po Box 1887 Elkhart IN 46515-1887 |
| Practice Telephone | 5743899881 |
| Practice Fax Number | 5743899884 |
| Mailing Telephone | 5743895042 |
| Mailing Fax Number | 5745228505 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2011-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 01018808A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BCBS # | 000000109323 | 01 |
| IN | ANTHEM BCBS | 000000545669 | 01 |
| IN | ANTHEM, BCBS FMC | 000000551983 | 01 |
| IN | 100111270A | 05 | |
| IN | 100111270 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939835 | James L Miller | Physical Therapist | 6235 River Crest Dr Ste L, Riverside, CA 92507-0758 | 2020-07-08 |
| 1730702390 | James Robert Miller | Counselor | 5331 Commercial Way Ste 203, Spring Hill, FL 34606-1426 | 2020-05-18 |
| 1467005314 | James H Miller | Pharmacist | 8308 Pomona Dr, Amarillo, TX 79110-4640 | 2019-07-19 |
| 1053970772 | James T Miller Jr. | Emergency Medical Technician, Basic | 3738 Maple St, Loris, SC 29569-2320 | 2019-06-06 |
| 1053809491 | James Miller | Military Health Care Provider | 716 Whisperwood Dr, Newport News, VA 23602-4954 | 2018-05-01 |
| 1407373822 | James Buton Miller | Home Health Aide | 3597 Baroma Dr, Columbus, OH 43228-3792 | 2017-08-25 |
| 1255874756 | James G Miller IIi | Specialist/Technologist | 16416 130th Way N, Jupiter, FL 33478-6501 | 2016-12-01 |
| 1295114023 | James Justin Miller | Community/Behavioral Health | 1200 Freddie Ct, Reno, NV 89503-1922 | 2015-05-26 |
| 1053702357 | James Edward Miller | Specialist | 2519 Shadow Oaks Dr, Fresno, TX 77545-6071 | 2015-02-09 |
| 1538589452 | James Miller IIi | Registered Nurse | 1630 E 27th Ave, Anchorage, AK 99508-4004 | 2014-04-17 |
| Street Address |
1753 FULTON ST |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-1927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750941779 | Jordan Leigh Bergstrom | Audiologist | 1753 Fulton St, Elkhart, IN 46514-1927 | 2019-06-20 |
| 1295087500 | Beacon Medical Group, Inc. | Otolaryngology | 1753 Fulton St, Elkhart, IN 46514-1927 | 2012-10-10 |
| 1831321942 | Diego Heredia Vintimilla | Internal Medicine | 1753 Fulton St, Elkhart, IN 46514-1927 | 2009-08-24 |
| 1275735581 | John S Gilbert | Otolaryngology | 1753 Fulton St, Elkhart, IN 46514-1927 | 2007-05-31 |
| 1376607028 | Amberly L Burger | Internal Medicine | 1753 Fulton St, Elkhart, IN 46514-1927 | 2006-12-20 |
| 1508950122 | Eliud Irizarry Claudio | Psychiatry & Neurology | 1753 Fulton St, Suite A, Elkhart, IN 46514-1927 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
| 1083235188 | Bonzer Medical, LLC | General Practice | 4423 S County Road 125 E, Greencastle, IN 46135-9237 | 2020-04-29 |
| 1851911945 | Regen 360 Indy LLC | General Practice | 70 E 91st St Ste 101, Indianapolis, IN 46240-1550 | 2020-04-20 |
| 1053946293 | Youhealth, Inc. | General Practice | 9515 Ledge Wood Ct, Fort Wayne, IN 46804-4701 | 2020-03-09 |
| 1194359240 | Mh Nursing of Indiana, PC | General Practice | 10090 Georgia St, Crown Point, IN 46307-6526 | 2020-02-27 |
| 1871130815 | Michael Staub | General Practice | 3263 S 3rd Pl, Terre Haute, IN 47802-3765 | 2019-12-10 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1871074732 | Healthy Schools Indiana LLC | General Practice | 6605 E State Blvd Ste 9, Fort Wayne, IN 46815-7036 | 2018-08-28 |
| 1518445089 | Allied Wellness Group | General Practice | 8202 Clearvista Pkwy Ste 9f, Indianapolis, IN 46256-1457 | 2018-08-06 |
| 1114405008 | People Nurturing People, Inc | General Practice | 3640 Watson Rd, Indianapolis, IN 46205-3562 | 2018-08-01 |
| 1215433420 | Sean Andrew Koerner | General Practice | 9465 Counselors Row Ste 200, Indianapolis, IN 46240-3817 | 2018-04-05 |
| Find all providers with the same taxonomy | ||||
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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.