Edward J Miller (NPI# 1891763355, PAC ID# 3779641212) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1891763355 |
| PAC ID by PECOS | 3779641212 |
| Professional Enrollment ID | I20081028000048 |
| Full Name | Edward J Miller |
| Organization Legal Name | TRIAD HEALTH SERVICES LLC |
| Address |
7629 Market St Suite 100 Youngstown OH 44512-6051 |
| Phone Number | 3307298015 |
| Gender | M |
| Graduation Year | 1994 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9032367917 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360352 | SURGICAL HOSPITAL AT SOUTHWOODS |
| 360276 | HMHP ST ELIZABETH BOARDMAN HEALTH CENTER |
| 360064 | ST ELIZABETH YOUNGSTOWN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7629 Market St, Suite 100, Youngstown, OH 44512-6051 | 3307298015 | TRIAD HEALTH SERVICES LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 65% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | TRIAD HEALTH SERVICES LLC |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberley A Clark | Nurse Practitioner | Triad Health Services LLC | 7629 Market St, Youngstown, OH 44512-6051 |
| Deborah J Nichols | Nurse Practitioner | Triad Health Services LLC | 3304 Stones Throw Ave, Poland, OH 44514-4204 |
| Timothy Domer | Orthopedic Surgery | Triad Health Services LLC | 16687 Saint Clair Ave, Suite 101, East Liverpool, OH 43920-9401 |
| Richard J Marina | Gastroenterology | Triad Health Services LLC | 918 Trailwood Dr, Suite 1, Youngstown, OH 44512-5037 |
| Richard Griffin Nord | Urology | Triad Health Services LLC | 904 Sahara Trl, Youngstown, OH 44514-3695 |
| James R Stille | Urology | Triad Health Services LLC | 3915 E Market St, Warren, OH 44484-4710 |
| Jeffrey Halley | Cardiovascular Disease (cardiology) | Triad Health Services LLC | 425 W 5th St, East Liverpool, OH 43920-2405 |
| Raymond Scott Duffett | Orthopedic Surgery | Triad Health Services LLC | 1335 Belmont Ave, Youngstown, OH 44504-1135 |
| Douglas J Smith Behn | General Surgery | Triad Health Services LLC | 4308 Belmont Ave, Suite 3, Youngstown, OH 44505-1071 |
| James Nicholas Pantelakis | Orthopedic Surgery | Triad Health Services LLC | 6615 Clingan Rd A, Youngstown, OH 44514-2196 |
| Street Address |
7629 MARKET ST SUITE 100 |
| City | YOUNGSTOWN |
| State | OH |
| Zip | 44512-6051 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberley A Clark | Nurse Practitioner | Triad Health Services LLC | 7629 Market St, Youngstown, OH 44512-6051 |
| Bridget D Romeo | Nurse Practitioner | Triad Health Services LLC | 7629 Market St, Suite 100, Youngstown, OH 44512-6051 |
| Jessica Sitler | Nurse Practitioner | Triad Health Services LLC | 7629 Market St, Youngstown, OH 44512-6051 |
| John Gianetti | Internal Medicine | Triad Health Services LLC | 7629 Market St, Suite 100, Youngstown, OH 44512-6051 |
| Alexandra N Butta | Nurse Practitioner | Triad Health Services LLC | 7629 Market St, Youngstown, OH 44512-6051 |
| Daniel J Anderson | Nurse Practitioner | Triad Health Services LLC | 7629 Market St, Suite 100, Youngstown, OH 44512-6051 |
| Joseph F Zeno | Internal Medicine | Triad Health Services LLC | 7629 Market St, Suite 100, Youngstown, OH 44512-6051 |
| John Michael Koval | Internal Medicine | Triad Health Services LLC | 7629 Market St, Suite 100, Youngstown, OH 44512-6051 |
| Elaine Marie Greifenstein | Rheumatology | Prima Health Care LLC | 7629 Market St, Youngstown, OH 44512-6051 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Louise Sano | Psychologist, Clinical | 7010 S Ave, Suite 5, Boardman, OH 44512 | |
| Charles E Wilkins | Geriatric Medicine | 4214 Market St, Youngstown, OH 44512-1118 | |
| Louis Michael Chiaro | Podiatry | 156 Overhill Rd, Boardman, OH 44512-1455 | |
| Tony T Deramo | Allergy/immunology | 5701 Market St, Youngstown, OH 44512-2603 | |
| Carl Franklin Ansevin | Neurology | 5701 Market St, Suite 101, Boardman, OH 44512-2603 | |
| Mary Newell Waller | Psychologist, Clinical | 5500 Market St, Suite 90, Youngstown, OH 44512-2616 | |
| Katharine Williams | Psychologist, Clinical | 5500 Market St, Suite 205, Boardman, OH 44512-2624 | |
| Patrick R Ranalli | Physical Therapy | 5500 Market St, Suite 127, Youngstown, OH 44512-2625 | |
| Christine L Fullerman | Audiologist | Youngstown Hearing and Speech Center | 6614 Southern Blvd, Youngstown, OH 44512-3455 |
| Andrew J Meyer | Anesthesiology | Children's Hospital Medical Center of Akron | 6505 Market St, Boardman, OH 44512-3457 |
| Find all physicians in zip 44512 | |||
| City | YOUNGSTOWN |
| Zip Code | 44512 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | YOUNGSTOWN + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.