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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 0424509 | KS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | 100143930A | 05 | |
KS | BCBS KANSAS | 619010 | 01 |
BCBS KANSAS CITY | 19401018 | 01 | |
MO | 205547706 | 05 |
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 |
Street Address |
5808 W 110TH ST |
City | OVERLAND PARK |
State | KS |
Zip Code | 66211-2504 |
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 |
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 Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
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. |
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 |
City | OVERLAND PARK |
Zip Code | 66211 |
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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.