DR. WESTON PETER MILLER IV (NPI# 1407903156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407903156 |
Entity Type | Individual |
Full Name | DR. WESTON PETER MILLER IV |
Credential | M.D. |
Practice Address |
2450 Riverside Ave Se East Building Journey Clinic 9e Minneapolis MN 55454 |
Mailing Address |
420 Delaware St Se Pediatric Hematology-oncology Mayo Mail Code 484 Minneapolis MN 55455-0341 |
Practice Telephone | 6123658100 |
Mailing Telephone | 6126262778 |
Enumeration Date | 2007-01-04 |
Last Update Date | 2012-04-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
104920 | MN | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215124425 | Weston P Miller IIi | Specialist | 2620 North Dr, Abbeville, LA 70510-4043 | 2007-10-02 |
Street Address |
2450 RIVERSIDE AVE SE EAST BUILDING JOURNEY CLINIC 9E |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55454 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689644908 | Tambra R Dahlheimer | Nurse Practitioner | 2450 Riverside Ave Se, East Building Journey Clinic 9e, Minneapolis, MN 55454 | 2006-01-26 |
1669890745 | Ashish Gupta | Pediatrics | 2450 Riverside Ave Se, Minneapolis, MN 55454 | 2014-04-04 |
1538369871 | Emily Greengard | Pediatrics | 2450 Riverside Ave Se, East Building Journey Clinic 9e, Minneapolis, MN 55454 | 2007-07-24 |
1396861217 | Jodell E Dahl | Nurse Practitioner | 2450 Riverside Ave Se, East Building Journey Clinic 9e, Minneapolis, MN 55454-0341 | 2007-03-22 |
1881771947 | Margaret L Macmillan | Pediatrics | 2450 Riverside Ave Se, East Building Journey Clinic 9e, Minneapolis, MN 55454 | 2006-11-01 |
1720176308 | Peter I Karachunski | Psychiatry & Neurology | 2450 Riverside Ave Se, Minneapolis, MN 55455-5545 | 2006-10-10 |
1366534273 | Jonathan B Jensen | Psychiatry & Neurology | 2450 Riverside Ave Se, 2a West, Minneapolis, MN 55454-1450 | 2006-09-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
Find all providers in zip 55454 |
Taxonomy Code | 2080P0207X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Hematology-Oncology |
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720058043 | Christopher L Moertel | Pediatrics | 2450 Riverside Ave., East Building, Ninth Floor, Minneapolis, MN 55454 | 2006-01-26 |
1013250836 | Asmaa Ferdjallah | Pediatrics | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2013-03-29 |
1194083675 | Alexander Albert Boucher | Pediatrics | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2012-05-02 |
1568755965 | Robin Lesley Williams | Pediatrics | 2450 Riverside Ave, Department of Pediatrics, Minneapolis, MN 55454-1450 | 2011-05-18 |
1194036889 | Baheyeldin M Salem | Pediatrics | 2900 Thomas Ave S, Apt # 2230, Minneapolis, MN 55416-4477 | 2010-06-28 |
1245557867 | Nathan Gossai | Pediatrics | 420 Delaware St Se, Mmc 391, Minneapolis, MN 55455-0341 | 2010-04-21 |
1467626259 | Mary Margaret Skrypek | Pediatrics | 2530 Chicago Ave, Children's Specialty Center Suite 175, Minneapolis, MN 55404-4289 | 2008-04-14 |
1275707937 | Stephanie Ann Fritch Lilla | Pediatrics | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2008-04-14 |
1538357785 | Troy Christopher Lund | Pediatrics | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2007-10-11 |
1538369871 | Emily Greengard | Pediatrics | 2450 Riverside Ave Se, East Building Journey Clinic 9e, Minneapolis, MN 55454 | 2007-07-24 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55454 |
Please comment or provide details below to improve the information on DR. WESTON PETER MILLER IV.
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.