LAVERNE L MILLER (NPI# 1477549962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477549962 |
| Entity Type | Individual |
| Full Name | LAVERNE L MILLER |
| Credential | M.D. |
| Practice Address |
208 Columbus St Hicksville OH 43526-1250 |
| Practice Telephone | 4195427718 |
| Practice Fax Number | 4195426544 |
| Mailing Telephone | 4195427718 |
| Mailing Fax Number | 4195426544 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2009-11-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
01035849 | IN | Allopathic & Osteopathic Physicians |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
35045593 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0454235 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265553952 | Laverne Beal Miller | Counselor | 425 N 1st St, Immokalee, FL 34142-3150 | 2007-04-02 |
| Street Address |
208 COLUMBUS ST |
| City | HICKSVILLE |
| State | OH |
| Zip Code | 43526-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104455344 | Elizabeth Heitmeyer | Nurse Practitioner | 208 Columbus St, Hicksville, OH 43526-1250 | 2020-04-08 |
| 1255990180 | Samantha Jo Kimpel | Massage Therapist | 208 Columbus St, Hicksville, OH 43526-1250 | 2019-06-13 |
| 1275090094 | Conner Yoder | Dietitian, Registered | 208 Columbus St, Hicksville, OH 43526-1250 | 2019-02-28 |
| 1912480039 | Crystal M. Trabel | Nurse Practitioner | 208 Columbus St, Hicksville, OH 43526-1299 | 2018-09-14 |
| 1164915021 | Community Memorial Hospital | Clinic/Center | 208 Columbus St, Hicksville, OH 43526-1250 | 2018-06-14 |
| 1033623962 | Julanne Marie Luderman | Dietitian, Registered | 208 Columbus St, Hicksville, OH 43526-1250 | 2017-11-30 |
| 1891206272 | Angela Marie Newman | Social Worker | 208 Columbus St, Hicksville, OH 43526-1250 | 2017-10-12 |
| 1952783821 | Natallia Lamantia | Dietitian, Registered | 208 Columbus St, Hicksville, OH 43526-1250 | 2015-06-26 |
| 1598165888 | Tara Garza | Nurse Practitioner | 208 Columbus St, Hicksville, OH 43526-1250 | 2014-08-25 |
| 1568877546 | Ryan Kenneth Bleck | Family Medicine | 208 Columbus St, Hicksville, OH 43526-1250 | 2014-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447534177 | Desare R Wilhelm | Massage Therapist | 104 E. High St., Hicksville, OH 43526 | 2011-09-29 |
| 1326133380 | Michael Stewart Boggs | Dentist | 106 North Bryan Street, Hicksville, OH 43526 | 2006-10-04 |
| 1831201417 | Julie K Barth | Audiologist | 119 N. Main St, Hicksville, OH 43526 | 2006-08-31 |
| 1730145392 | Community Memorial Hospital | Clinic/Center | 208 Columbus Street, Hicksville, OH 43526 | 2006-04-24 |
| 1356580294 | Vasavi K Reddy | Family Medicine | 208 Columbus Street, Hicksville, OH 43526 | 2009-02-17 |
| 1326685728 | Chelsea Kelly Dds LLC | Dentist | 106 N Bryan St, Hicksville, OH 43526-1004 | 2019-12-04 |
| 1003431073 | Macy Marie Bradbury | Physician Assistant | 217 N Bryan St, Hicksville, OH 43526-1005 | 2020-06-15 |
| 1386650141 | Ryan David Bagley | Chiropractor | 102 Old Mill Rd, Hicksville, OH 43526-1083 | 2006-08-01 |
| 1114188679 | Bagley Family Chiropractic, LLC | Chiropractor | 501 W High St, Hicksville, OH 43526-1083 | 2008-06-18 |
| 1033316419 | Brent A Roth Dc Inc | Chiropractor | 501 W High St, Hicksville, OH 43526-1083 | 2007-06-29 |
| Find all providers in zip 43526 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922645779 | Francis Dapaah | Family Medicine | 1264 Brainard Rd, Lyndhurst, OH 44124-1404 | 2019-11-27 |
| 1255832275 | Primary Care Partners of Ohio | Family Medicine | 726 E Main St Ste F205, Lebanon, OH 45036 | 2018-02-25 |
| 1780009928 | Js Aesthetics | Family Medicine | 2400 Passage Key Trl, Xenia, OH 45385-9212 | 2014-02-25 |
| 1821422486 | Healthserve Medical Group LLC | Family Medicine | 2939 Kenny Rd Ste 200, Columbus, OH 43221-2406 | 2013-08-30 |
| 1902152366 | Mason Family Health Center LLC | Family Medicine | 7808 Derbyshire Ct, Liberty Township, OH 45044-9049 | 2012-08-02 |
| 1548539976 | Eva Ray Lefton | Family Medicine | 16 Deerfield Ln, Beachwood, OH 44122-7502 | 2011-12-13 |
| 1508189499 | Senior Care Physicians, Inc. | Family Medicine | 1745 Indian Wood Cir Ste 252, Maumee, OH 43537-4168 | 2010-03-05 |
| 1639404171 | Midwest Dysphagia Consultants, LLC | Family Medicine | 5710 Wooster Pike Ste 102, Cincinnati, OH 45227-4520 | 2009-10-15 |
| 1457589087 | John Tychonievich | Family Medicine | 2222 Welcome Pl, Columbus, OH 43209-7813 | 2009-06-22 |
| 1235311358 | Licking Memorial Professional Corp. | Family Medicine | 17 Forry St, Newark, OH 43055-4004 | 2007-11-30 |
| Find all providers with the same taxonomy | ||||
| City | HICKSVILLE |
| Zip Code | 43526 |
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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.