DR. MARC L MILLER (NPI# 1598758351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598758351 |
| Entity Type | Individual |
| Full Name | DR. MARC L MILLER |
| Credential | MD |
| Practice Address |
3801 Santa Rosa Dr Ste 301 Kingman AZ 86401-2311 |
| Mailing Address |
51 Sewall St Portland ME 04102-2643 |
| Practice Telephone | 9286818730 |
| Practice Fax Number | 9286818731 |
| Mailing Telephone | 2077745761 |
| Mailing Fax Number | 2078747478 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2020-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 011083 | ME | Other Service Providers |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
59883 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 307490099 | 05 | |
| AZ | ARIZONA MEDICAL BOARD | 59883 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 51 Sewall St, Portland, ME 041022643 | 2077745761 | 2078747478 |
| 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 |
| 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 |
| 1558724260 | Marc Russell Miller | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Department of Pediatrics, Winston Salem, NC 27157-0001 | 2016-03-30 |
| 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 |
| Street Address |
3801 SANTA ROSA DR STE 301 |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86401-2311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053858704 | Robert Cole | Nurse Practitioner | 3545 Cheyenne Ave, King,an, AZ 86401 | 2017-01-19 |
| 1710420286 | Acadia Healthcare Inc | Nurse Practitioner | 2699 E Andy Devine, Suite B, Kingman, AZ 86401 | 2016-11-30 |
| 1174079800 | Kenneth Mcadow | Physical Therapist | 2404 Stockton Hill Road, Suite K, Kingman, AZ 86401 | 2016-09-01 |
| 1649659483 | Tracie Hirz | Case Manager/Care Coordinator | 3656 Packsaddle Road, Kingman, AZ 86401 | 2015-05-27 |
| 1548657695 | Chelsea Presbrey | Family Medicine | 2202 N Stockton Hill Rd Ste 100, Kingman, AZ 86401 | 2015-04-15 |
| 1649617226 | Abubakr Abdelmunim Tagelsir Abdelaziz | Internal Medicine | 2501 N Stockton Hill Rd Ste 102, Kingman, AZ 86401 | 2013-05-23 |
| 1205173325 | Patricia Jean Marko | Social Worker | 2002 Stockton Hill Road, Mohave Mental Health Clinic, Inc., Kingman, AZ 86401 | 2013-01-09 |
| 1770835316 | Hae Young Lee | Dentist | 2058 Maya Dr., Kingman, AZ 86401 | 2012-10-05 |
| 1255681623 | Hilary Radler | Specialist/Technologist | 3033 Macdonald, Kingman, AZ 86401 | 2012-09-13 |
| 1477836880 | Goodwill of Northern Arizona | Exclusive Provider Organization | 2369 Airway Avenue, Kingman, AZ 86401 | 2011-09-21 |
| Find all providers in zip 86401 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1952531121 | Sherif Nasef, Md, Pllc | Internal Medicine | 1755 Airway Ave, Kingman, AZ 86409-3620 | 2009-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633195 | Flow Rheumatology, Pllc | Internal Medicine | 9941 N 95th St Ste E101, Scottsdale, AZ 85258-4609 | 2020-06-14 |
| 1053898692 | Honorhealth Ambulatory | Internal Medicine | 10900 N Scottsdale Rd Ste 603, Scottsdale, AZ 85254-5252 | 2018-07-26 |
| 1780047985 | Arthritis Consultants PC | Internal Medicine | 12665 W Smokey Dr, Suite 140, Surprise, AZ 85378-3703 | 2016-04-04 |
| 1174939623 | Jawad Bilal | Internal Medicine | 1501 N Campbell Ave Rm 8339, Tucson, AZ 85724 | 2014-07-05 |
| 1043651540 | Rachel Sara Herrin | Internal Medicine | 12665 W. Smokey Dr., #140, Surprise, AZ 85378 | 2013-07-12 |
| 1902154859 | Shubha Kollampare | Internal Medicine | 1501 N Campbell Ave Rm 8303, Tucson, AZ 85724-5093 | 2012-08-27 |
| 1689943318 | Manfred Albrecht | Internal Medicine | 6928 N. Green Mt Place, Tucson, AZ 85718-1315 | 2011-12-27 |
| 1316263825 | Saguaro Specialty Physicians, LLC | Internal Medicine | 4881 E Grant, Suite 201, Tucson, AZ 85712 | 2010-04-09 |
| 1881823219 | Sanford Harold Roth | Internal Medicine | 6831 N 58th Pl, Paradise Valley, AZ 85253-3410 | 2009-07-07 |
| 1275774937 | Dominick George Sudano | Internal Medicine | 1501 N Campbell Ave Rm 6336, Tucson, AZ 85724-0001 | 2009-03-10 |
| Find all providers with the same taxonomy | ||||
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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.