RUSSELL M MILLER (NPI# 1891856886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891856886 |
| Entity Type | Individual |
| Full Name | RUSSELL M MILLER |
| Credential | MD |
| Practice Address |
5838 W Brick Rd Ste 106 South Bend IN 46628-8420 |
| Mailing Address |
Po Box 1239 Troy MI 48099-1239 |
| Practice Telephone | 5742471911 |
| Practice Fax Number | 5742471912 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2015-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01055937A | IN | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
01055937A | IN | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
036068129 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164740411 | Russell D. Miller | General Practice | 7160 Seawind Dr, Long Beach, CA 90803-4316 | 2010-05-12 |
| 1306171541 | Russell Thomas Miller | Physical Therapist | 2024 Olde Regent Way Ste 130, Leland, NC 28451-4250 | 2009-10-06 |
| 1184886426 | Russell J Miller | Social Worker | 8415 Goodwood Blvd Ste 200, Baton Rouge, LA 70806 | 2008-06-27 |
| 1982759429 | Russell Stephen Miller | Dentist | 1815 Clinten Ave South, Suite 640, Rochester, NY 14618 | 2007-01-24 |
| 1225130156 | Russell Paul Miller | Internal Medicine | 5900 Coyle Ave #a, Carmichael, CA 95608-0429 | 2006-09-01 |
| 1689688723 | Russell Loyd Miller Jr. | Internal Medicine | 1605 N Portal Dr Nw, Washington, DC 20012-1012 | 2006-07-27 |
| 1649236803 | Russell A Miller | Pediatrics | 1900c Garfield Ave, Parkersburg, WV 26101-2525 | 2006-04-25 |
| 1730141375 | Russell M Miller | Optometrist | 10 Diagonal St, Suite 101, St George, UT 84770-2878 | 2006-04-06 |
| 1780646158 | Russell J Miller | Physician Assistant | 1468 Trevorton Rd, Coal Township, PA 17866-7725 | 2006-04-03 |
| 1730167537 | Russell W Miller | Counselor | 2755 State Road Tt, New Bloomfield, MO 65063-1642 | 2006-01-03 |
| Street Address |
5838 W BRICK RD STE 106 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46628-8420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700885498 | Stephen D Kennedy | Family Medicine | 5838 W Brick Rd Ste 106, South Bend, IN 46628 | 2005-07-15 |
| 1255958310 | Vpa PC | Pediatrics | 5838 W Brick Rd Ste 106, South Bend, IN 46628-8420 | 2020-07-06 |
| 1720605884 | Vpa PC | Pediatrics | 5838 W Brick Rd Ste 106, South Bend, IN 46628-8420 | 2020-07-06 |
| 1659862266 | Ngozika Adindu | Nurse Practitioner | 5838 W Brick Rd Ste 106, South Bend, IN 46628-8420 | 2018-05-21 |
| 1952507170 | Stephen Dinsmoor Nightingale | Internal Medicine | 5838 W Brick Rd Ste 106, South Bend, IN 46628-8420 | 2007-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419249 | Mahogany Maternity | Doula | 22500 Lincoln Way West, South Bend, IN 46628 | 2020-02-12 |
| 1093126120 | Julie Collier | Pharmacist | 3600 Northportage Road, South Bend, IN 46628 | 2014-05-12 |
| 1588075717 | J Curylo | Pharmacist | 3600 N Portage Rd, South Bend, IN 46628 | 2014-05-09 |
| 1609287986 | Thomas Daniels | Pharmacist | 3600 North Portage Rd., South Bend, IN 46628 | 2014-05-08 |
| 1639467277 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 3371 Cleveland Rd Ste 310, South Bend, IN 46628 | 2011-07-18 |
| 1497891014 | Danielle Colleen Luten | Homemaker | 1830 N Brookfield, South Bend, IN 46628 | 2007-01-30 |
| 1205440666 | Kristin Lynette Stringer | Registered Nurse | 53174 Flowing Stream Ct, South Bend, IN 46628 | 2020-09-03 |
| 1033489844 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3600 Portage Rd, South Bend, IN 46628 | 2012-01-10 |
| 1467687277 | Leah Diane Craft | Family Medicine | 2235 Cleveland Rd, South Bend, IN 46628 | 2009-05-22 |
| 1518387216 | Kendra Weber | Specialist/Technologist | 904 Woodbine Way, South Bend, IN 46628-1241 | 2014-04-21 |
| Find all providers in zip 46628 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285998146 | Thomas Larsen | Family Medicine | 4440 Portage Ave, South Bend, IN 46628-9570 | 2012-06-26 |
| 1316180318 | Paul Angelo Carl Macri | Family Medicine | 2012 Cedar St, South Bend, IN 46617-2542 | 2009-04-07 |
| 1285818591 | Jaroslaw Kuna | Family Medicine | 320 S Saint Joseph St Ste 300, South Bend, IN 46601-2308 | 2007-12-21 |
| 1013117472 | Ronald E Grow Inc | Family Medicine | 810 W Indiana Ave, South Bend, IN 46613-1828 | 2007-07-23 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| 1225185739 | Michael J. O'connell D.o. Inc | Family Medicine | 17960 Cleveland Road, South Bend, IN 46635 | 2007-01-05 |
| 1679620579 | Mark R. Neff | Family Medicine | 804 Lancaster Dr, South Bend, IN 46614-2020 | 2007-01-04 |
| 1437216587 | David Wood Baxter | Family Medicine | 115 E Cripe St, South Bend, IN 46637-3402 | 2007-01-01 |
| 1477635944 | Alan Snell | Family Medicine | 837 East Cedar St., Ste 100, South Bend, IN 46617 | 2006-10-20 |
| 1437240694 | Brian Anthony Jacobs | Family Medicine | 610 N Michigan Street, Suite 308, South Bend, IN 46601 | 2006-09-27 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46628 |
Please comment or provide details below to improve the information on RUSSELL M 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.