MR. TREVOR L. MILLER (NPI# 1386803120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386803120 |
| Entity Type | Individual |
| Full Name | MR. TREVOR L. MILLER |
| Credential | PA-C |
| Practice Address |
3200 Maccorkle Avenue Se Hospitalist Program Charleston WV 25304 |
| Mailing Address |
3200 Maccorkle Seave B16 Charleston WV 25304-1227 |
| Practice Telephone | 3043885848 |
| Practice Fax Number | 3043889654 |
| Mailing Telephone | 3043885848 |
| Mailing Fax Number | 3043889654 |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2015-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 01368 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811350259 | Trevor Miller | Student in an Organized Health Care Education/Training Program | Nyu Langone Medical Center 550 1st Ave, Ny, NY 10010 | 2016-04-02 |
| 1124389507 | Trevor Earl Miller | Dentist | 9900 Lincoln Street 2nd Floor, Tacoma, WA 98431 | 2012-06-02 |
| 1518987866 | Trevor Charles Miller | Chiropractor | 209 S State St, North Vernon, IN 47265-1818 | 2006-07-20 |
| 1407840226 | Trevor Dwayne Miller | Dentist | 2107 57th St, Sacramento, CA 95817-1713 | 2005-09-08 |
| 1033736285 | Trevor C Miller | Recreation Therapist | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-07-02 |
| 1619596590 | Trevor Edward Miller | Student in an Organized Health Care Education/Training Program | 1700 6th Ave N, Bessemer, AL 35020-4849 | 2020-04-10 |
| 1780215491 | Trevor Cole Miller | Counselor | 5016 Noel Polty Blvd, Bethel, AK 99559 | 2020-01-31 |
| 1790244556 | Trevor Miller | Student in an Organized Health Care Education/Training Program | 925 Seneca St, Seattle, WA 98101-2742 | 2019-03-19 |
| 1164811683 | Trevor Ross Miller | Chiropractor | 7765 Bodega Ave, Sebastopol, CA 95472-3575 | 2015-01-21 |
| 1104139542 | Trevor Miller | Radiology | 1275 York Ave, New York, NY 10065-6007 | 2010-07-14 |
| Street Address |
3200 MACCORKLE AVENUE SE HOSPITALIST PROGRAM |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839800 | Darlene Y. Gruetter | Specialist | 3200 Maccorkle Avenue Se, Pathology Department, Charleston, WV 25304 | 2005-05-27 |
| 1487215786 | Asra Tanwir | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Se, Robert C. Bird Clinical Training Centre 4th Floor, Charleston, WV 25304 | 2019-06-26 |
| 1053874883 | Ramandeep Kaur Bolla | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Se, 5th Floor Robert C. Byrd Clinical Teaching Center, Charleston, WV 25304 | 2019-04-09 |
| 1992237283 | Autumn Lanoye | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Se, Robert C. Bird Clinical Training Center, 4th Floor, Charleston, WV 25304 | 2017-03-28 |
| 1518397975 | Sneha N Raghunath | Hospitalist | 3200 Maccorkle Avenue Se, Suite B16, Charleston, WV 25304 | 2013-11-22 |
| 1306079579 | Sanjoy K. Nath | Internal Medicine | 3200 Maccorkle Avenue Se, Hospitalist Program, Charleston, WV 25304 | 2009-09-03 |
| 1427203504 | Melinda J. Stanley | Nurse Practitioner | 3200 Maccorkle Avenue Se, Hospitalists Program, Charleston, WV 25304 | 2008-11-17 |
| 1487818167 | Amir R. Khorshad | Physician Assistant | 3200 Maccorkle Avenue Se, Hospitalist Program, Charleston, WV 25304 | 2008-07-11 |
| 1801007224 | Noma Y. Khan | Internal Medicine | 3200 Maccorkle Avenue Se, Hospitalist Program, Charleston, WV 25304 | 2007-05-25 |
| 1336366251 | Kaala A. Paas | Nurse Practitioner | 3200 Maccorkle Avenue Se, Hospitalist Program, Charleston, WV 25304 | 2007-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893908 | Sade Yvonne Rice | Technician | 392 B South Parkd Rd, Charleston, WV 25304 | 2020-08-27 |
| 1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
| 1649807603 | Jasmine Shah | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 | 2020-03-26 |
| 1447811872 | Kwasi Amponsah Gambrah | Student in an Organized Health Care Education/Training Program | 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 | 2019-06-26 |
| 1457916751 | Divya Kalluru | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 | 2019-05-02 |
| 1841854965 | Sean Michael Percy Losier | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 | 2019-04-24 |
| 1700440047 | Priyanka Chowdhry | Student in an Organized Health Care Education/Training Program | Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 | 2019-04-23 |
| 1568925469 | Saranya Dinesan | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 | 2019-04-09 |
| 1043771694 | Mary Elizabeth Novak | Student in an Organized Health Care Education/Training Program | Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 | 2019-03-27 |
| 1124518600 | Abdullah Sohail | Student in an Organized Health Care Education/Training Program | 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 | 2018-05-10 |
| Find all providers in zip 25304 | ||||
| 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 |
|---|---|---|---|---|
| 1609475326 | Rebecca Whealen | Physician Assistant | 2026 Huber Rd, Charleston, WV 25314-2236 | 2020-10-23 |
| 1275131054 | Ethan Brody Clontz | Physician Assistant | 1953 Pinehurst Ave, Charleston, SC 29414-6483 | 2020-10-13 |
| 1386251635 | Caitlin Estep | Physician Assistant | 3100 Maccorkle Ave Se Ste 802, Charleston, WV 25304-1233 | 2020-09-29 |
| 1487261509 | Reilly Kilpatrick | Physician Assistant | 1518 Blaze Ln, Charleston, SC 29412-8652 | 2020-09-24 |
| 1083228514 | Andrea Denise Boan | Physician Assistant | 12 Commercial Row Apt A, Charleston, SC 29412-3641 | 2020-09-02 |
| 1194343673 | Andrew N Brewer | Physician Assistant | 171 Ashley Ave Ste 419, Charleston, SC 29425-8908 | 2020-07-10 |
| 1396361309 | Jacquelyn Joseph | Physician Assistant | 134 Howard Mary Dr Apt A, Charleston, SC 29412-9581 | 2020-06-25 |
| 1639719990 | Jessy Marie Hamrick | Physician Assistant | 149 Dutch Rd Apt 105, Charleston, WV 25302-2530 | 2020-01-14 |
| 1093355521 | Virginia Noemi Escobar-cheng | Physician Assistant | 310 Red Mulberry Way Apt 3, Charleston, WV 25306-6395 | 2020-01-13 |
| 1598300279 | Breanne Marie Wiekamp | Physician Assistant | 20 Scarlet Oak Ln Apt 3, Charleston, WV 25306-1128 | 2019-11-17 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25304 |
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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.