MATTHEW DAVID MILLER (NPI# 1558474122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558474122 |
| Entity Type | Individual |
| Full Name | MATTHEW DAVID MILLER |
| Credential | D.O. |
| Practice Address |
3415 Mcintosh Cir Joplin MO 64804-3651 |
| Mailing Address |
Po Box 3810 Joplin MO 64803-3810 |
| Practice Telephone | 4173474000 |
| Mailing Telephone | 4173474000 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2011-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
2004030340 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | PHYSICIAN LICENSE | 2004030340 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926410 | Matthew Derrick Miller | Nurse Practitioner | 9354 E Thatcher Cir, Mesa, AZ 85212-8539 | 2020-09-12 |
| 1598386385 | Matthew Ryan Miller | Registered Nurse | 711 Spring St, Santa Barbara, CA 93103-2407 | 2020-05-03 |
| 1366087082 | Matthew D Miller | Physician Assistant | 506 5th Ave Ste 2ff, Brooklyn, NY 11215-4812 | 2019-11-18 |
| 1447728951 | Matthew David Miller | Student in an Organized Health Care Education/Training Program | 5369 E 50 S, Lagro, IN 46941-9434 | 2018-11-02 |
| 1932686961 | Matthew Thomas Miller | Chiropractor | 4791 Calle Real Ste 103, Santa Barbara, CA 93110-1308 | 2018-07-23 |
| 1538682364 | Matthew Miller | Counselor | 3700 Willow Creek Rd Bldg 73, Prescott, AZ 86301-3721 | 2017-07-24 |
| 1326435215 | Matthew W Miller | Otolaryngology | 981225 University of Nebraska Medical Ctr, Omaha, NE 68198-1225 | 2015-04-19 |
| 1801216841 | Matthew Cameron Miller | Specialist/Technologist | 7715 Waterford Lakes Dr, Apt 3036, Charlotte, NC 28210-7414 | 2014-04-17 |
| 1649520933 | Matthew S Miller | Dentist | 51 Mdg/ds, Unit 2060, Apo, AA 96278-2060 | 2012-09-13 |
| 1285980581 | Matthew Stephen Miller | Pharmacist | 3791 Richardson Rd, Scotts Mills, OR 97375-9616 | 2012-07-24 |
| Street Address |
3415 MCINTOSH CIR |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-3651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477500700 | Pamela Cecile Landon | Internal Medicine | 3415 Mcintosh Cir, Joplin, MO 64804-3651 | 2006-05-30 |
| 1316596075 | Brittani Alesha Reed | Nurse Practitioner | 3415 Mcintosh Cir, Joplin, MO 64804-3651 | 2019-09-05 |
| 1639578800 | Kelly Estus | Clinical Nurse Specialist | 3415 Mcintosh Cir, Joplin, MO 64804-3651 | 2014-08-14 |
| 1447505862 | Kelly Rhea Woodford | Nurse Practitioner | 3415 Mcintosh Cir, Joplin, MO 64804-3651 | 2012-07-23 |
| 1023219698 | Atman Shah | Internal Medicine | 3415 Mcintosh Cir, Joplin, MO 64804-3651 | 2007-05-30 |
| 1679788962 | Govinda Brahmanday | Internal Medicine | 3415 Mcintosh Cir, Freeman Cancer Institute, Joplin, MO 64804-3651 | 2007-05-11 |
| 1073655585 | Kerry Jean Williams-wuch | Internal Medicine | 3415 Mcintosh Cir, Joplin, MO 64804-3651 | 2007-02-12 |
| 1598859084 | Amir Anis | Internal Medicine | 3415 Mcintosh Cir, Joplin, MO 64804-3651 | 2006-10-02 |
| 1114030202 | Margaret A Seedorf | Nurse Practitioner | 3415 Mcintosh Cir, Joplin, MO 64804-3651 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124185772 | Robert L Carter Md PC | Internal Medicine | 1617 W 26th Street, Joplin, MO 64804 | 2007-01-02 |
| 1477500700 | Pamela Cecile Landon | Internal Medicine | 3415 Mcintosh Cir, Joplin, MO 64804-3651 | 2006-05-30 |
| 1235331455 | Samir Mukundray Dalia | Internal Medicine | 100 Mercy Way, Joplin, MO 64804-4524 | 2007-06-01 |
| 1073655585 | Kerry Jean Williams-wuch | Internal Medicine | 3415 Mcintosh Cir, Joplin, MO 64804-3651 | 2007-02-12 |
| 1205989019 | Bruce T Chosney | Internal Medicine | 1617 W 26th Street, Joplin, MO 64804 | 2007-01-18 |
| 1316004963 | Robert L Carter | Internal Medicine | 1617 W 26th Street, Joplin, MO 64804 | 2007-01-02 |
| 1700963501 | Oncology and Hematology Center, P.C. | Internal Medicine | 2727 Mcclelland Blvd, Suite 1, Joplin, MO 64804-1626 | 2006-11-01 |
| 1164537643 | Anisa Hassan | Internal Medicine | 3315 Mcintosh Cir, Joplin, MO 64804-3649 | 2006-08-21 |
| 1164499588 | David W Croy | Internal Medicine | 100 Mercy Way, Joplin, MO 64804-4524 | 2006-03-03 |
| 1750358487 | Irving E Lafrancis | Internal Medicine | 100 Mercy Way, Joplin, MO 64804-4524 | 2006-03-01 |
| Find all providers in JOPLIN | ||||
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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.