ELISA R MILLER (NPI# 1912168964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912168964 |
| Entity Type | Individual |
| Full Name | ELISA R MILLER |
| Credential | PA-C |
| Practice Address |
803 Poplar St Murray KY 42071-2432 |
| Mailing Address |
1431 Centerpoint Blvd Suite 100 Knoxville TN 37932-1984 |
| Practice Telephone | 2707621100 |
| Mailing Telephone | 8659857068 |
| Mailing Fax Number | 8659857077 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PENDING | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316321474 | Elisa Miller | Acupuncturist | 119 S Richard St, Bedford, PA 15522-1329 | 2015-07-17 |
| 1225679764 | Elisa Miller | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-10-07 |
| Street Address |
803 POPLAR ST |
| City | MURRAY |
| State | KY |
| Zip Code | 42071-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568469724 | Aaron Robert Perkins | Pharmacist | 803 Poplar St, Murray, KY 42071-2432 | 2005-07-03 |
| 1720605561 | Charlene N Barnes | Respiratory Therapist, Registered | 803 Poplar St, Murray, KY 42071-2432 | 2020-06-27 |
| 1114589371 | Sierra Williams-barnhart | Nurse Practitioner | 803 Poplar St, Murray, KY 42071 | 2019-07-08 |
| 1609359413 | Jennifer Mason | Emergency Medicine | 803 Poplar St, Murray, KY 42071-2432 | 2018-09-09 |
| 1801269683 | Poinsettia Emergency Physicians, LLC | Physician Assistant | 803 Poplar St, Murray, KY 42071-2432 | 2015-11-03 |
| 1871966606 | Tarragon Emergency Physicians, LLC | Physician Assistant | 803 Poplar St, Murray, KY 42071-2432 | 2015-11-02 |
| 1912258708 | Lynne M Quallen | Registered Nurse | 803 Poplar St, Murray, KY 42071-2432 | 2012-09-20 |
| 1427308956 | Jean Vick Crawford | Specialist/Technologist, Other | 803 Poplar St, Murray, KY 42071-2432 | 2012-09-12 |
| 1265708978 | Cynthia S Ivey | Specialist/Technologist, Other | 803 Poplar St, Murray, KY 42071-2432 | 2012-03-27 |
| 1649540949 | Amy Vaughn | Dietitian, Registered | 803 Poplar St, Murray, KY 42071-2432 | 2012-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356989347 | Roy Berry Mckendree | Pharmacist | 208 N 12th, Murray, KY 42071 | 2019-12-20 |
| 1629559224 | Villagemd Clinicals Pharmacy Kentucky | Pharmacy | 1000 S 12th St Ste A, Murray, KY 42071 | 2018-08-22 |
| 1205335346 | Elevation Dentistry Pllc | Dentist | 1710 Hwy 121 N. Byp. Ste A, Murray, KY 42071 | 2018-02-05 |
| 1114431715 | Devin Cassity | Specialist/Technologist | Roy Stewart Stadium Gibert Graves Drive, Murray, KY 42071 | 2017-11-20 |
| 1881146033 | Alliance Health Care, LLC | General Practice | 1710 D State Route 121 North, Murray, KY 42071 | 2016-11-03 |
| 1780039529 | Kelli Bathon | Developmental Therapist | 1988 Rowlett Trl, Murray, KY 42071 | 2016-04-29 |
| 1184060287 | William D Dewees | Veterinarian | Carman Pavilion/100 Aht Center/college Farm Road, Murray State University, Murray, KY 42071 | 2013-05-15 |
| 1467719674 | Anna Jayjock | Dentist | 700 Whitnell Avenue, Murray, KY 42071 | 2012-04-12 |
| 1629380704 | Michael James Bordieri | Psychologist | 401c Wells Hall, Murray State University, Murray, KY 42071 | 2010-07-06 |
| 1760706501 | Patrick William Thornton | Chiropractor | 408 South 12th Street, Murray, KY 42071 | 2010-03-23 |
| Find all providers in zip 42071 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447725247 | Shonti G. Breisch | Physician Assistant | 6150 S Vineway Cir, Murray, UT 84121-1947 | 2018-10-08 |
| 1043705866 | Jeffery Mccleve | Physician Assistant | 5323 S Woodrow St Ste 100, Murray, UT 84107-5842 | 2018-06-25 |
| 1518402098 | Philip John Swink | Physician Assistant | 650 E 4500 S Ste 100, Murray, UT 84107-4536 | 2016-12-20 |
| 1760849657 | Molly Ann Nowill | Physician Assistant | 5169 S Cottonwood St Ste 501a, Murray, UT 84107-6767 | 2016-01-22 |
| 1114399839 | Scott West | Physician Assistant | 5169 S Cottonwood St Ste 510, Murray, UT 84107-6770 | 2015-10-21 |
| 1679901169 | Jennifer Aileen Wight | Physician Assistant | 5169 S Cottonwood St Ste 440, Murray, UT 84107-6774 | 2013-10-22 |
| 1164728960 | Lex Kiyoshi Grimley | Physician Assistant | 5169 Cottonwood St Ste 520, Murray, UT 84107-6767 | 2011-01-27 |
| 1760618730 | Kelly Lynae Richardson | Physician Assistant | 5121 S Cottonwood St Ste 320, Murray, UT 84107-5701 | 2009-06-04 |
| 1184887051 | Meredith Evin Pike | Physician Assistant | 5450 S Green St, Murray, UT 84123-5632 | 2008-07-09 |
| 1215091525 | Matthew M Neddo | Physician Assistant | 5911 S Fashion Blvd, Murray, UT 84107-7352 | 2006-12-21 |
| Find all providers in MURRAY | ||||
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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.