DR. TRACEY L MILLER


Address: 5808 W 110th St, Overland Park, KS 66211-2504
Phone: 9136968000

DR. TRACEY L MILLER (NPI# 1972696367) 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) 1972696367
Entity Type Individual
Full Name DR. TRACEY L MILLER
Credential M.D.
Practice Address 5808 W 110th St
Overland Park
KS 66211-2504
Mailing Address 2401 Gillham Rd
Provider Enrollment Department
Kansas City
MO 64108-4619
Practice Telephone 9136968000
Practice Fax Number 8163029939
Mailing Telephone 8162343000
Mailing Fax Number 8163029939
Enumeration Date 2006-09-30
Last Update Date 2019-07-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 0424509 KS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KS 100143930A 05
KS BCBS KANSAS 619010 01
BCBS KANSAS CITY 19401018 01
MO 205547706 05

Other Providers TRACEY MILLER

NPI Name Taxonomy Address Enumeration
1265818892 Tracey Denise-thoms Miller Nurse Practitioner 511 Cricket Ridge Ct, Duncan, SC 29334-8877 2015-08-05
1619214681 Tracey Reynee Miller Physical Therapy Assistant 1130 Nantucket Rd, Venice, FL 34293 2013-01-11
1265687842 Tracey Antoinette Miller Physical Therapist 11637 170th St, Apt. A, Jamaica, NY 11434-1819 2008-11-24
1083227375 Tracey Miller Registered Nurse 6480 Technology Ave Ste A, Kalamazoo, MI 49009-8126 2020-08-26
1104399351 Tracey Lunsford Miller Occupational Therapy Assistant 1000 Litton Ln, Blacksburg, VA 24060-6399 2019-01-09
1699935171 Tracey Leavens Miller Speech-Language Pathologist 807 Wilbraham Rd, Springfield, MA 01109-2067 2008-06-10
1588798078 Tracey Miller Social Worker 380 Washington Ave, Roosevelt, NY 11575-1845 2007-03-15
1710063409 Tracey Miller Physician Assistant 16659 Southwest Fwy # 461, Sugar Land, TX 77479-2375 2006-10-27
1942210208 Tracey Deann Miller Nurse Practitioner 1775 Spring Creek Dr, Billings, MT 59102-6754 2006-08-09
1679523146 Tracey M Miller Nurse Practitioner 4123 Dutchmans Ln, Ste.301, Louisville, KY 40207 2006-05-12

Office Location

Street Address 5808 W 110TH ST
City OVERLAND PARK
State KS
Zip Code 66211-2504

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891779906 Angela J Croom Pediatrics 5808 W 110th St, Overland Park, KS 66211-2504 2005-12-01
1619502473 David Vanderhofe Social Worker 5808 W 110th St, Overland Park, KS 66211-2504 2020-03-11
1366095283 Kimberly Renee Periman Nurse Practitioner 5808 W 110th St, Overland Park, KS 66211-2504 2019-07-19
1912461997 Taryn Gort Registered Nurse 5808 W 110th St, Overland Park, KS 66211-2504 2019-01-24
1407325186 Caley Jo Dykstra Nurse Practitioner 5808 W 110th St, Overland Park, KS 66211 2018-11-25
1881182723 Erika O Kokoruda Social Worker 5808 W 110th St, Overland Park, KS 66211-2504 2018-04-26
1720524846 Childrens Mercy Hospital Pharmacy 5808 W 110th St, Overland Park, KS 66211-2504 2017-01-12
1689129991 Linda Ahmu Dietitian, Registered 5808 W 110th St, Overland Park, KS 66211-2504 2016-08-17
1952715427 Margaret Koos Pediatrics 5808 W 110th St, Overland Park, KS 66211-2504 2014-06-12
1376954461 Amornluck Krasaelap Pediatrics 5808 W 110th St, Overland Park, KS 66211-2504 2014-05-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336611821 Baillie Rose Woydziak Social Worker 5805 W 110th Street, Overland Park, KS 66211 2018-12-20
1467920389 Ku Medwest Ambulatory Surgery Center, LLC Clinic/Center 10720 Nall Avenue, Overland Park, KS 66211 2018-11-08
1235615931 Janice Carollo Physical Therapy Assistant 11611 Granada Lane, Leawood, KS 66211 2018-07-16
1720572555 Trevor Lee Elmer Physical Therapist 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 2018-06-15
1043746555 Overland Park Surgical Suites, LLC Clinic/Center 6650 W 110th St Ste 300, Overland Park, KS 66211 2017-05-03
1619313665 Vcphcs Xiv, LLC Clinic/Center 6331 W. 110th Street, Overland Park, KS 66211 2013-05-17
1528334950 Scott Anthony Hardouin Surgery 5100 W 110th St Unit 300, Overland Park, KS 66211 2012-03-29
1386917003 Children's Physical Therapy Associates Physical Therapist 6600 College Boulevard, Suite 307, Overland Park, KS 66211 2012-02-10
1871876250 Amber Diane Dalzell Social Worker 10965 Granada Ln Ste 102, Overland Park, KS 66211 2011-09-22
1912298001 Stephen Vincent Hiatt Orthopaedic Surgery 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 2011-04-25
Find all providers in zip 66211

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245694181 Alicia Christina Wolfe Pediatrics 12541 Foster St Ste 260, Overland Park, KS 66213-2301 2016-04-06
1467863498 Allison Marie Hadley Pediatrics 8675 College Blvd Ste 100, Overland Park, KS 66210-1863 2014-05-13
1134473192 James Joseph O'bryan Pediatrics 10815 W 104th St, Overland Park, KS 66214-3052 2012-10-30
1013278506 Fred Fletcher Roberts Pediatrics 5610 W 131st Ter, Overland Park, KS 66209-2925 2012-05-31
1235413030 Isaac J Kennedy Pediatrics 10500 Quivira Road, Pediatric Emergency Medicine, Overland Park, KS 66215 2011-09-28
1942339106 Elizabeth Sorrells Peterson Pediatrics 7311 W 132nd St, Suite 190, Overland Park, KS 66213-1118 2007-03-05
1346259033 Lauren Olson Pediatrics 5805 W 110th St, Overland Park, KS 66211 2006-08-05
1396771838 Pediatric Care Specialists, Pa Pediatrics 12541 Foster, Suite 260, Overland Park, KS 66213-1324 2006-06-25
1194782854 Lara Sullivan Pediatrics 14300 Metcalf Ave, Ste. 122, Overland Park, KS 66223-2987 2006-04-27
1194781187 Marsha Dannenberg Pediatrics 6750 W 135th St, Overland Park, KS 66223-4802 2006-04-26
Find all providers in OVERLAND PARK

Competitor

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City OVERLAND PARK
Zip Code 66211

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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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