SHANE MICHAEL MILLER (NPI# 1487829719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487829719 |
| Entity Type | Individual |
| Full Name | SHANE MICHAEL MILLER |
| Credential | M.D. |
| Practice Address |
5700 Dallas Pkwy Frisco TX 75034-9580 |
| Mailing Address |
2222 Welborn St Dallas TX 75219-3924 |
| Practice Telephone | 4695157100 |
| Practice Fax Number | 2144437309 |
| Mailing Telephone | 2145595000 |
| Mailing Fax Number | 2144437309 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2019-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
46860 | CO | Allopathic & Osteopathic Physicians |
| Y | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
N2663 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 209257901 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174041040 | Shane Miller | Technician | 1714 Fortview Rd Ste 106e, Austin, TX 78704-7659 | 2017-08-31 |
| 1326048125 | Shane Miller | Pharmacist | Rr 4 Box 376m, Gate City, VA 24251-9215 | 2005-07-22 |
| 1255670246 | Shane Miller | Rehabilitation Practitioner | 2560 Business Pkwy Ste B, Minden, NV 89423-8961 | 2013-02-11 |
| 1114201183 | Shane Michael Miller | Pharmacist | 124 N Congress St, Rushville, IL 62681-1434 | 2011-10-07 |
| 1427378199 | Shane Elizabeth Miller | Marriage & Family Therapist | 25 Church St, Shelton, CT 06484-5802 | 2010-06-04 |
| 1093867541 | Shane Donald Miller | Chiropractor | 2911 N 14th St, Suite 102, Bismarck, ND 58503-0659 | 2007-01-17 |
| 1144330663 | Shane Miller | Physical Therapy Assistant | 4106 W Lake Mary Blvd Ste 320, Lake Mary, FL 32746-3344 | 2006-08-30 |
| Street Address |
5700 DALLAS PKWY |
| City | FRISCO |
| State | TX |
| Zip Code | 75034-9580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821050600 | Philip L Wilson | Orthopaedic Surgery | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2006-04-05 |
| 1013528967 | Courtney Nicole Warren | Physical Therapist | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2020-08-13 |
| 1477183663 | Steven Lacore | Physical Therapist | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2020-01-16 |
| 1053971176 | Jessica Dabis | Physical Medicine & Rehabilitation | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2019-06-20 |
| 1184284200 | Lindsey Beth Ham | Occupational Therapist | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2019-06-20 |
| 1629444880 | Stephanie Centra | Nurse Anesthetist, Certified Registered | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2015-08-11 |
| 1316344997 | Emily Stapleton | Counselor | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2014-11-26 |
| 1740550300 | Shawne Theresea Barron | Clinical Nurse Specialist | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2012-01-12 |
| 1346541224 | Amanda Leigh Fletcher | Nurse Practitioner | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2010-11-09 |
| 1659696946 | Shawn Nguyen | Anesthesiology | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2010-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275463 | Chiroconcepts of Frisco North Pllc | Chiropractor | 13108 Dallas Pkwy, Suite 410, Frisco, TX 75034 | 2020-11-06 |
| 1790394625 | Lindsey Wertheim | Nurse Practitioner | 4325 Preston Rd, #300, Frisco, TX 75034 | 2020-07-27 |
| 1154948198 | Walker Plastic Surgery Pllc | Surgery | 12590 Dallas Pkwy, Ste 200, Frisco, TX 75034 | 2020-06-25 |
| 1700425055 | Goldfish Group Inc. | Clinic/Center | 6735 Salt Cedar Way, Building 1, 1039-300, Frisco, TX 75034 | 2020-01-04 |
| 1255979506 | Livelife LLC | Clinic/Center | 8668 John Hickman Parkway, Frisco, TX 75034 | 2019-12-17 |
| 1215581780 | Magnolia Pediatrics | Pediatrics | 2875 Main St. Suite 104, Frisco, TX 75034 | 2019-08-01 |
| 1811555386 | Alexis Deann Rickey | Speech-Language Pathologist | 4300 Cotton Gin Road, Frisco, TX 75034 | 2019-05-30 |
| 1316500952 | Jtma Inc | Pharmacy | 5899 Preston Road, Bldg 6 Ste 602, Frisco, TX 75034 | 2019-04-18 |
| 1194388173 | Amplify Chiropractic, Pllc | Chiropractor | 8250 Gaylord Pkwy, Ste. 3, Room 21, Frisco, TX 75034 | 2019-04-16 |
| 1740742030 | Princy Kurian | Occupational Therapist | Baylor Scott & White Institute for Rehabilitation Dn, Frisco, TX 75034 | 2019-04-04 |
| Find all providers in zip 75034 | ||||
| Taxonomy Code | 2080S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Sports Medicine |
| A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366941981 | Kimberly Anne Foster | Pediatrics | 23203 Bulverde Rd, San Antonio, TX 78259-2203 | 2018-02-09 |
| 1598119315 | Allison Baran | Pediatrics | 7211 Preston Rd, Plano, TX 75024 | 2016-04-18 |
| 1467750612 | Bert Milton Franks | Pediatrics | 6812 Riverridge Rd, Ft Worth, TX 76116-9355 | 2011-03-10 |
| 1417984055 | Karen M Kirk | Pediatrics | 701 Interstate 20 E, Arlington, TX 76018-1130 | 2006-06-27 |
| 1023520509 | Medcare Pediatric Group, Lp | Pediatrics | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2017-10-24 |
| 1073988895 | Lindsey Pereira Sebastian | Pediatrics | 7211 Preston Rd Ste 1200, Plano, TX 75024-0238 | 2015-12-04 |
| 1871964122 | University of Dallas | Pediatrics | 1845 E Northgate Dr, Maher Athletic Center, Irving, TX 75062-4736 | 2015-10-13 |
| 1770923294 | Jennifer L. Johnson, Md Pllc | Pediatrics | 4351 Ridgemont Dr, Suite A, Abilene, TX 79606-8701 | 2013-06-28 |
| 1952538290 | Jacel Craig Brooks | Pediatrics | 11800 Fm 1960 Rd W, Houston, TX 77065-3840 | 2009-06-13 |
| 1073787024 | Jennifer Leigh Johnson | Pediatrics | 4351 Ridgemont Dr, Suite A, Abilene, TX 79606-8701 | 2008-04-21 |
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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.