DR. GARY MILLER (NPI# 1528027430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528027430 |
| Entity Type | Individual |
| Full Name | DR. GARY MILLER |
| Credential | MD |
| Practice Address |
100 N Mountain Rd Canton CT 06019-2140 |
| Practice Telephone | (860) 558-3662 |
| Practice Fax Number | 8606930888 |
| Mailing Telephone | (860) 558-3662 |
| Mailing Fax Number | 8606930888 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 025717 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PHCS | 061606960 | 01 | |
| AETNA | 2469391 | 01 | |
| BCBS | 010025717CT01 | 01 | |
| DEA NUMBER | AM3218597 | 01 | |
| WELLCARE | 135723 | 01 | |
| HEALTHNET | 0V8223 | 01 | |
| CT | 001257171 | 05 | |
| OXFORD | HAP017 | 01 | |
| EVERCARE | 0407238 | 01 | |
| UNITED H C | 0442003 | 01 | |
| MULTIPLAN | P44182552 | 01 | |
| CIGNA | 01025717 | 01 | |
| TRICARE | 061606960 | 01 | |
| RAILROAD MEDICARE | 110233167 | 01 | |
| CT CARE | 705992 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 61 Bradley St, Suite 7, Bristol, CT 060105103 | 8603146898 | 8603146896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134549371 | Gary Miller | Physical Therapist | 4238 Fox Ridge Dr, Weston, FL 33331-4003 | 2014-04-25 |
| 1760803795 | Gary Miller | Otolaryngology | 3467 Northwood Rd, Suamico, WI 54313-8250 | 2013-12-17 |
| 1639422371 | Gary Curtis Miller | Licensed Practical Nurse | 102 S West St, Suite # 7, Carlisle, PA 17013-2857 | 2012-10-18 |
| 1649541392 | Gary L Miller | Specialist | 6 Forest Dr, Logansport, IN 46947-1650 | 2012-01-25 |
| 1720315922 | Gary D Miller | Dentist | 12520 Magnolia Blvd., Suite #205, North Hollywood, CA 91607 | 2009-11-09 |
| 1053521591 | Gary Thomas Miller | Chiropractor | 2627 E Franklin Ave, Suite 201, Minneapolis, MN 55406-1103 | 2007-05-23 |
| 1952529612 | Gary Paul Miller | Dentist | 7130 Preston Rd, Ste 100, Plano, TX 75024-3265 | 2007-04-20 |
| 1871634071 | Gary Frederick Miller | Social Worker | 624 S 13th Street, P O 1188, Virginia, MN 55792 | 2007-02-09 |
| 1932252566 | Gary Stephen Miller | Chiropractor | 7 E Woodland Ave, Springfield, PA 19064-2310 | 2007-01-18 |
| 1770634016 | Gary Miller | Chiropractor | 2333 Camino Del Rio S Ste 230, San Diego, CA 92108-3600 | 2007-01-15 |
| Street Address |
100 N MOUNTAIN RD |
| City | CANTON |
| State | CT |
| Zip Code | 06019-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912532953 | Canton Geriatrics Pllc | Clinic/Center | 461 Cherry Brook Road, Canton, CT 06019 | 2020-03-10 |
| 1245877638 | Cara Noel Donahue | Social Worker | Farmington Valley Counseling Center, 111 Simsbury Rd, Avon, CT 06019 | 2019-12-04 |
| 1629614953 | Reformed Nutrition LLC | Dietitian, Registered | 220 Albany Turnpike, Unit 1, Canton, CT 06019 | 2019-11-21 |
| 1144607367 | Jordan Sileo Wasik | Counselor | 20 Depot St., Collinsville, CT 06019 | 2015-04-27 |
| 1578957361 | Glaser Helpers, Inc. | Home Health | 6 Wickhams Fancy, Collinsville, CT 06019 | 2015-03-19 |
| 1346686136 | Anna Sastre | Family Medicine | 117 Albany Turnpike, Canton, CT 06019 | 2013-05-20 |
| 1356698856 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 111 Albany Turnpike, Canton, CT 06019 | 2012-08-14 |
| 1881858959 | Connecticut Foot Specialists PC | Podiatrist | 259 Albany Turnpike, Suite C, Canton, CT 06019 | 2008-07-17 |
| 1073734505 | Matthew Keefe | Dentist | 191 Albany Turnpike, Canton, CT 06019 | 2007-05-01 |
| 1710092432 | Gerard Edward-zackary Bogucki | Dentist | 66 Maple Avenue, Collinsville, CT 06019 | 2006-08-20 |
| Find all providers in zip 06019 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366938607 | Abidi Mehdi Medical, Pllc | Internal Medicine | 44237 Michigan Avenue, Canton, MI 48188 | 2018-07-10 |
| 1326424805 | Vishnu Sai LLC | Internal Medicine | 6672 List St Nw, Canton, OH 44708-6419 | 2015-08-06 |
| 1619350501 | Ohio Pulmonary and Sleep Physicians LLC | Internal Medicine | 1445 Harrison Ave Nw Ste 101, Canton, OH 44708-2628 | 2015-07-09 |
| 1073932414 | Christina Powers | Internal Medicine | 470 Northside Cherokee Blvd, Ste 380, Canton, GA 30115-8015 | 2014-04-14 |
| 1083054902 | Umayr Azimi | Internal Medicine | 44237 Michigan Ave, Canton, MI 48188-2866 | 2013-06-25 |
| 1356699896 | John Anthony Ziolo | Internal Medicine | 141 Wedgewood Falls Dr, Canton, GA 30114-8928 | 2012-08-15 |
| 1437414018 | Wassim Chehouri | Internal Medicine | 1988 Elmhurst St, Canton, MI 48187-3119 | 2012-07-10 |
| 1790078624 | Jacklyn L Quade | Internal Medicine | 1051 N Canton Center Road, Canton, MI 48187-5097 | 2011-05-25 |
| 1679875892 | Sourabh Prabhakar | Internal Medicine | 2600 Sixth St Sw Ste A2-710, Canton, OH 44710-1702 | 2010-11-19 |
| 1033341060 | Zahoorul Hassan | Internal Medicine | 40592 Tamarack Dr, Apt#204, Canton, MI 48188-2828 | 2009-08-09 |
| Find all providers in CANTON | ||||
Please comment or provide details below to improve the information on DR. GARY MILLER.
| 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.