MARC RUSSELL MILLER


Address: Medical Center Blvd, Department of Pediatrics, Winston Salem, NC 27157-0001
Phone: 3367162694

MARC RUSSELL MILLER (NPI# 1558724260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558724260
Entity Type Individual
Full Name MARC RUSSELL MILLER
Credential M.D.
Practice Address Medical Center Blvd
Department of Pediatrics
Winston Salem
NC 27157-0001
Practice Telephone 3367162694
Mailing Telephone 3367162694
Enumeration Date 2016-03-30
Last Update Date 2016-03-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers MARC MILLER

NPI Name Taxonomy Address Enumeration
1972636496 Marc Miller Preventive Medicine 22 Cedar Rdg, Irvine, CA 92603-3610 2007-03-13
1841355708 Marc L Miller Psychologist 4 Stauber Dr, Plainview, NY 11803-4835 2006-12-22
1194749127 Marc A Miller Dentist 645 W Golf Rd, Des Plaines, IL 60016-2462 2006-07-26
1598758351 Marc L Miller Specialist 3801 Santa Rosa Dr Ste 301, Kingman, AZ 86401-2311 2005-08-26
1306446117 Marc Miller Pharmacist 2410 N State Highway 3, North Vernon, IN 47265-6589 2020-10-30
1295212165 Marc Miller Counselor 670 Placerville Dr, Placerville, CA 95667-4200 2018-07-24
1154777944 Marc Miller Physical Therapist 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128-8311 2016-05-11
1184090326 Marc Miller Pharmacist 4965 W Bell Rd, Glendale, AZ 85308-3418 2015-08-11
1538583372 Marc Miller Registered Nurse 9808 Venice Blvd, Suite 700, Culver City, CA 90232-2732 2014-02-14
1326133737 Marc Miller Internal Medicine 1190 5th Ave, New York, NY 10029-6503 2006-10-03

Office Location

Street Address MEDICAL CENTER BLVD
DEPARTMENT OF PEDIATRICS
City WINSTON SALEM
State NC
Zip Code 27157-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811990815 Gary Lee Ray Registered Nurse Medical Center Blvd, Winston Salem, NC 27157-0001 2005-05-23
1881295418 Alan Townes Grizzard Nurse Practitioner Medical Center Blvd, Winston Salem, NC 27157-0001 2020-11-02
1003421751 Nicholas Ryan Tuttle Nurse Anesthetist, Certified Registered Medical Center Blvd, Winston Salem, NC 27157-0001 2020-09-10
1356956122 Caitlin Marie Clement Nurse Anesthetist, Certified Registered Medical Center Blvd, Winston Salem, NC 27103 2020-09-09
1376154591 Lori Sansone Flores Nurse Practitioner Medical Center Blvd, Winston Salem, NC 27157-0001 2020-08-11
1821609330 Hannah Carey Walker Physician Assistant Medical Center Blvd, Winston Salem, NC 27157-0001 2020-08-10
1447876883 Raveena Mahesh Chhabria Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston Salem, NC 27157-0001 2020-06-22
1780205930 Jason Chin Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston Salem, NC 27157-1087 2020-04-29
1972122885 Bryanna Dean Vesely Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston Salem, NC 27157-0001 2020-04-10
1679102909 Ameen Barghi Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston Salem, NC 27157-2803 2020-04-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255960241 Alexandra Marie Balmaceda Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 2020-04-02
1164916680 Jorie Elizabeth Gatts Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 2018-06-18
1932606555 Alexi Rae Ellington Webb Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 2018-04-10
1851896674 Wasim Muhammad Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 2018-03-25
1336643535 Phillip Martin Kostelic Student in an Organized Health Care Education/Training Program Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 2018-03-21
1831693324 Aleah Bond Student in an Organized Health Care Education/Training Program Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 2018-03-20
1134644859 Ilan Binyamin Klein Urology Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 2017-08-03
1023467529 Edward John Doyle IIi Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 2016-06-07
1477917888 Jordan Mae Burner Student in an Organized Health Care Education/Training Program Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 2016-04-12
1174900476 Kate Elise Winterbottom Speech-Language Pathologist 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 2015-05-06
Find all providers in zip 27157

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427659747 Lakisha Henry-simmons Student in an Organized Health Care Education/Training Program 4298 Falcon Rd, Winston Salem, NC 27106-9425 2020-11-03
1366040503 William Tommy Sparks Student in an Organized Health Care Education/Training Program 1012 S Hawthorne Rd, Winston Salem, NC 27103-4419 2020-10-10
1386258432 Valerie Miller Student in an Organized Health Care Education/Training Program 601 Mlk Jr Dr, Winston Salem, NC 27110-0001 2020-09-05
1942814074 Joyous Hawkins Student in an Organized Health Care Education/Training Program 601 S Martin Luther King, Winston Salem, NC 27110-0001 2020-09-05
1326652504 Emily Claire Skoglund Student in an Organized Health Care Education/Training Program 601 S Martin Luther King Jr Dr Fl 432, Winston Salem, NC 27110-0001 2020-09-03
1750903233 Rachel Elizabeth Crespi Student in an Organized Health Care Education/Training Program 3517 Summerfield Ln, Winston Salem, NC 27106-4295 2020-05-07
1023639325 Christopher Gregg Marler Jr. Student in an Organized Health Care Education/Training Program 1 Medical Center Blvd Winston-salem N Surgery Clinic, Winston Salem, NC 27157-0001 2020-04-28
1912526005 Hunter Bright Yancey Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Center 1 Me, Winston Salem, NC 27157-0001 2020-04-09
1033748371 Chukwuweike U Gwam Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Center Medical Center Boul, Winston Salem, NC 27157-0001 2020-04-08
1386273175 Mehrnoosh Ghandili Student in an Organized Health Care Education/Training Program Wake Forest Baptist Health One Medical Center Blvd, Winston Salem, NC 27157-0001 2020-04-03
Find all providers in WINSTON SALEM

Competitor

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City WINSTON SALEM
Zip Code 27157

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Dataset Information

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.

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