RICKY MILLER (NPI# 1619317500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619317500 |
Entity Type | Individual |
Full Name | RICKY MILLER |
Credential | MD |
Practice Address |
602 N Acadia Rd Thibodaux LA 70301-4823 |
Mailing Address |
1924 Alcoa Hwy # U-11 Knoxville TN 37920-1511 |
Practice Telephone | 9854354831 |
Practice Fax Number | 9854492585 |
Mailing Telephone | 8653059230 |
Mailing Fax Number | 8653058894 |
Enumeration Date | 2013-06-25 |
Last Update Date | 2020-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
322505 | LA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
1924 Alcoa Hwy # U-11, Knoxville, TN 379201511 | 8653059230 | 8653058894 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982123154 | Ricky Spencer Miller Jr. | Occupational Therapist | 3901 University Blvd S, Jacksonville, FL 32216-4312 | 2017-09-19 |
1396019576 | Ricky Miller | Counselor | 914 E Broadway, 3rd Floor, Louisville, KY 40204-1037 | 2012-03-06 |
1811935034 | Ricky Miller | Emergency Medicine | 1414 S Orange Ave, Orlando, FL 32806-2134 | 2006-06-02 |
Street Address |
602 N ACADIA RD |
City | THIBODAUX |
State | LA |
Zip Code | 70301-4823 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467427336 | Thibodaux Regional Network Development Corporation | Radiology | 602 N Acadia Rd, Thibodaux, LA 70301-4847 | 2006-02-22 |
1346855715 | Lindsay A Dufresne | Physician Assistant | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2020-09-12 |
1598370991 | Jill L Bueche | Nurse Practitioner | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2020-09-11 |
1972118842 | Adele Elise Broussard | Physician Assistant | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2020-09-08 |
1336759737 | Nia Walker | Physician Assistant | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2020-07-31 |
1639705924 | Gage Duet | Student in an Organized Health Care Education/Training Program | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2020-03-18 |
1992352629 | Jamie Roy-daigle | Clinical Pharmacology | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2019-08-19 |
1356995096 | Kaley Marie Duplantis | Physician Assistant | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2019-07-31 |
1750933438 | Thibodaux Regional Health System Inc | Psychiatric Hospital | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2019-07-12 |
1740840909 | Thibodaux Regional Health System Inc | Psychiatric Hospital | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2019-06-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
1982112348 | Katie Leblanc | Massage Therapist | 1115 St. Mary Street, Thibodaux, LA 70301 | 2018-01-18 |
1154837391 | Texas Digestive Disease Consultants, Pllc | Internal Medicine | 764 North Acadia Road, Suite A, Thibodaux, LA 70301 | 2017-12-26 |
1235648239 | Speech and Feeding Therapy, LLC | Speech-Language Pathologist | 1000 Plantation Rd Ste 1a, Thibodaux, LA 70301 | 2017-09-22 |
1285150466 | Tara Payne | Counselor | 303 Hickory Street, Thibodaux, LA 70301 | 2017-08-18 |
1427583475 | Tyler Pettigrew | Counselor | 300 Plantation Rd., Apt #24, Thibodaux, LA 70301 | 2017-04-27 |
1750825758 | Jessica Barquet | Counselor | 110 Palm Villa Dr Apt 1, Thibodaux, LA 70301 | 2016-12-09 |
1013468230 | Shenee Haas Gros | Counselor | 504 Cherry St., Thibodaux, LA 70301 | 2016-10-24 |
1982155388 | Southern Ent Associates Inc | Audiologist | 604 North Acadia Road Suite 101, Thibodaux, LA 70301 | 2016-10-20 |
1215483888 | Lesheeca Norman, Lpc | Counselor | 306 Victoria Court, Thibodaux, LA 70301 | 2016-09-01 |
Find all providers in zip 70301 |
Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124438247 | James Ernesto Murray | Radiology | 1514 Jefferson Hwy Fl 2, Jefferson, LA 70121-2429 | 2014-04-28 |
1023383486 | Dane Gallmann Mackey | Radiology | 880 Sherwood Forest Blvd, Baton Rouge, LA 70815-5262 | 2012-03-19 |
1922313865 | John William Eiser | Radiology | 205 Magnolia Dr, Metairie, LA 70005-4030 | 2010-08-16 |
1386888733 | Jeremy David Cannell | Radiology | 15790 Paul Vega Drive, Hammond, LA 70403 | 2009-04-29 |
1609012657 | Vascular Access Center of Southwest Louisiana LLC | Radiology | 1340 Surrey St, Suite 101, Lafayette, LA 70501-7618 | 2008-12-22 |
1457412983 | Charles N Aprill IIi | Radiology | 1919 Veterans Memorial Blvd Ste 101, Kenner, LA 70062-4003 | 2006-12-12 |
1437183670 | Peripheral Vascular, Inc. | Radiology | 1100 Andre St Ste 101, New Iberia, LA 70563-2159 | 2006-07-11 |
1891341400 | Amber Lynn Durel | Radiology | 2400 Canal St, New Orleans, LA 70119-6535 | 2019-08-11 |
1902258486 | Jphir LLC | Radiology | 10440 Hooper Rd, Baton Rouge, LA 70818-3203 | 2016-07-07 |
1518209394 | Laura Mirielle Leonards | Radiology | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2013-03-20 |
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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.