KELLY MILLER (NPI# 1396198065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396198065 |
| Entity Type | Individual |
| Full Name | KELLY MILLER |
| Credential | M.D. |
| Practice Address |
475 Seaview Ave Staten Island NY 10305-3436 |
| Mailing Address |
5119 Fairmont Pkwy Pasadena TX 77505-3758 |
| Practice Telephone | 7243551833 |
| Mailing Telephone | 7243551833 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2020-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | S7282 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528678810 | Kelly Miller | Technician | 1030 Chapline St Apt 414, Wheeling, WV 26003-2947 | 2020-08-03 |
| 1235691619 | Kelly Marie Miller | Family Medicine | 1420 S Business 61 Ste Def, Bowling Green, MO 63334-5230 | 2019-04-03 |
| 1144710799 | Kelly Sue Miller | Nurse Practitioner | 5500 Armstrong Rd Rm 201, Battle Creek, MI 49037-7314 | 2018-05-18 |
| 1700386356 | Kelly Miller | Registered Nurse | 521 Ethan Dr, Weatherford, TX 76087-3307 | 2018-02-20 |
| 1518471259 | Kelly Miller | Licensed Practical Nurse | 22223 N 1525 East Rd, Danville, IL 61834-8200 | 2017-11-16 |
| 1306297049 | Kelly Rita Miller | Behavioral Analyst | 2267 Cabana Club Court #204, Tampa, FL 33612 | 2016-06-23 |
| 1265892822 | Kelly Miller | Behavioral Analyst | 526 Holly Knoll Rd, Hockessin, DE 19707-9749 | 2016-02-25 |
| 1609266865 | Kelly Michaels Miller | Social Worker | 23 Groves Ave, Alexandria, VA 22305-2508 | 2015-01-27 |
| 1710321948 | Kelly A Miller | Social Worker | 2000 Arapahoe Suite 305, Denver, CO 80205 | 2013-04-18 |
| 1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
| Street Address |
475 SEAVIEW AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10305-3436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083611537 | Than Than Aye | Anesthesiology | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2005-06-30 |
| 1780285346 | Daphne Andrea Duran | Nurse Practitioner | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-11-02 |
| 1912505595 | Jennifer Ann Holtzbach | Nurse Practitioner | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-10-15 |
| 1649877564 | Michelle Ramsaroop | Physician Assistant | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-10-04 |
| 1174130694 | Juda Zurndorfer | Nurse Practitioner | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-09-29 |
| 1780299362 | Lorenzo Brown | Registered Nurse | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-09-10 |
| 1780294959 | Valerie Jioia | Physician Assistant | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-08-03 |
| 1679199368 | Madison Lynn Robbins | Physician Assistant | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-06-18 |
| 1598389678 | Brianna Nichole Hines | Student in an Organized Health Care Education/Training Program | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-06-03 |
| 1912521279 | Christina Valerio | Registered Nurse | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
| 1003436783 | Ali Kassem | Student in an Organized Health Care Education/Training Program | 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 | 2020-04-22 |
| 1174183982 | Mohammad Ass'ad Alshami | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 | 2019-06-14 |
| 1639632508 | Abdullah Jahangir | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 | 2019-04-09 |
| 1922593813 | Ifeyinwa Mary Asuzu | Student in an Organized Health Care Education/Training Program | 1 Edgewater Plaza Staten Island, New York, NY 10305 | 2018-06-25 |
| 1700377652 | Celeste Jude Chow | Speech-Language Pathologist | 841 Father Capodanno Blvd, Staten Island, NY 10305 | 2018-05-27 |
| 1972094878 | Mahmoud Shadi | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 | 2018-05-25 |
| 1396235131 | Samyak Hiteshkumar Dhruv | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue, Staten Island, NY 10305 | 2018-05-17 |
| 1720583404 | Michele Corrado | Nurse Practitioner | 27 Xenia St, Staten Island, NY 10305 | 2018-03-26 |
| 1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
| Find all providers in zip 10305 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629540778 | Olga Kheyson Md PC | Obstetrics & Gynecology | 3371 Richmond Ave Ste 1, Staten Island, NY 10312-2025 | 2018-12-28 |
| 1083984496 | Gateway Ob/gyn Associates, P.C. | Obstetrics & Gynecology | 78 Cromwell Avenue, Staten Island, NY 10304 | 2012-01-03 |
| 1457650152 | Bay Medical Care Services Pllc | Obstetrics & Gynecology | 42 Richmond Ter, 1st Floor, Staten Island, NY 10301-1909 | 2011-03-21 |
| 1790015998 | Ellen Viloria Celis | Obstetrics & Gynecology | 100 Bradley Avenue, Staten Island, NY 10314 | 2010-01-11 |
| 1073748018 | Noreen Kamal-mostafavi | Obstetrics & Gynecology | 3860 Victory Blvd Fl 1, Staten Island, NY 10314-6720 | 2009-05-20 |
| 1033252812 | Qurratulain Tabassum Siddiqui | Obstetrics & Gynecology | 61 Rome Ave, Staten Island, NY 10304-4319 | 2007-02-14 |
| 1578602942 | Ilham Alqaisi | Obstetrics & Gynecology | 83 Beebe St, Staten Island, NY 10301-4501 | 2007-02-05 |
| 1295884773 | Pavlides & Benson Ob/gyn Associates, PC | Obstetrics & Gynecology | 2 Teleport Dr, Suite 207, Staten Island, NY 10311-1006 | 2007-01-10 |
| 1700952694 | Marie L. Vartolo M.d.p.c. | Obstetrics & Gynecology | 450 Slosson Ave, Staten Island, NY 10314-5445 | 2006-11-24 |
| 1689696080 | Michael A. Schirripa | Obstetrics & Gynecology | 4855 Hylan Blvd, Staten Island, NY 10312 | 2006-07-24 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10305 |
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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.