KARISSA R MILLER (NPI# 1386933075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386933075 |
| Entity Type | Individual |
| Full Name | KARISSA R MILLER |
| Credential | M.D. |
| Practice Address |
945 N 12th St Milwaukee WI 53233-1305 |
| Practice Telephone | (715) 346-5000 |
| Mailing Telephone | (715) 346-5000 |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 61425 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | WI STATE LIC | 61425-20 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 900 Illinois Ave, Stevens Point, WI 544813114 | 7153465000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023532108 | Karissa Miller | Physician Assistant | 7250 Clearvista Dr Ste 355, Indianapolis, IN 46256-5609 | 2017-07-31 |
| 1942688940 | Karissa Miller | Student in an Organized Health Care Education/Training Program | 2525 Chicago Ave, Pharmacy Department (32-b110) Children's Hospital of Mn, Minneapolis, MN 55404-4518 | 2015-05-11 |
| 1740436302 | Karissa Deanne Miller | Speech-Language Pathologist | 1110 Call Creek Dr Ste 7, Pocatello, ID 83201-3072 | 2008-08-14 |
| Street Address |
945 N 12TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53233-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811996796 | Marilynn E Frederiksen | Obstetrics & Gynecology | 945 N 12th St, Milwaukee, WI 53233-1305 | 2005-07-21 |
| 1104437375 | Danielle Steinke | Physical Therapist | 945 N 12th St, Milwaukee, WI 53233-1305 | 2020-08-12 |
| 1477171916 | Rachel Weiss | Dietitian, Registered | 945 N 12th St, Milwaukee, WI 53233-1305 | 2020-07-10 |
| 1427675230 | Nicholas Dimitri Nassif | Student in an Organized Health Care Education/Training Program | 945 N 12th St, Milwaukee, WI 53233-1305 | 2020-06-26 |
| 1467076935 | Victoria K Iadarola | Physician Assistant | 945 N 12th St, Milwaukee, WI 53233-1305 | 2020-06-01 |
| 1982226676 | Mariann Delores Sykes | Massage Therapist | 945 N 12th St, Milwaukee, WI 53233-1337 | 2020-05-15 |
| 1992325112 | Tom Robert Straus | Occupational Therapist | 945 N 12th St, Milwaukee, WI 53233-1305 | 2020-04-17 |
| 1881213304 | Melissa Hunter | Physical Therapist | 945 N 12th St, Milwaukee, WI 53233-1305 | 2020-04-14 |
| 1891314373 | Nicholas Medek | Physical Therapy Assistant | 945 N 12th St, Milwaukee, WI 53233-1305 | 2020-04-14 |
| 1447889811 | Mounika Paravastu | Student in an Organized Health Care Education/Training Program | 945 N 12th St, Milwaukee, WI 53233-1305 | 2020-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
| 1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
| 1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
| 1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
| 1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
| Find all providers in zip 53233 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780115634 | Sean Anthony Mackman | Emergency Medicine | 9200 W Wisconsin Ave # 1p, Milwaukee, WI 53226-3522 | 2017-03-22 |
| 1992166821 | Nicholas W Hawley | Emergency Medicine | 3003 W Good Hope Rd # Bcm320, Milwaukee, WI 53209-2042 | 2016-03-20 |
| 1811384464 | Megan O Bedolla | Emergency Medicine | 2338 E Ohio Ave, Milwaukee, WI 53207 | 2015-04-21 |
| 1174848816 | Brian D Eiche | Emergency Medicine | 111 E. Wisconsin Ave. Ste 2100, Infinity Healthcare, Milwaukee, WI 53202 | 2010-04-06 |
| 1285963116 | Randall Levin | Emergency Medicine | 201 W Bergen Dr, Milwaukee, WI 53217-2308 | 2009-12-24 |
| 1003935925 | Andrea Michelle Kraus | Emergency Medicine | 3237 S 16th St Ste 100, Milwaukee, WI 53215-4526 | 2007-03-29 |
| 1427147990 | Nancy L. Dovin | Emergency Medicine | 2104 N Hi Mount Blvd, Milwaukee, WI 53208-1111 | 2006-10-12 |
| 1750304283 | Kimberly A Ridl | Emergency Medicine | 4500 National Ave, Milwaukee, WI 53295-0001 | 2006-07-25 |
| 1821013277 | Gail Hendley | Emergency Medicine | 500 W Chambers St, Milwaukee, WI 53212-2308 | 2006-07-13 |
| 1356396840 | Kelly Hedlund Kanter | Emergency Medicine | 111 E Wisconsin Avenue, Milwaukee, WI 53202-4815 | 2006-05-23 |
| Find all providers in MILWAUKEE | ||||
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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.