Kennon S Miller (NPI# 1689786725, PAC ID# 4385616598) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1689786725 |
| PAC ID by PECOS | 4385616598 |
| Professional Enrollment ID | I20040809000969 |
| Full Name | Kennon S Miller |
| Organization Legal Name | BROWN UROLOGY, INC. |
| Address |
2 Dudley St Suite 175 Providence RI 02905-3246 |
| Phone Number | 4014210710 |
| Gender | M |
| Credential | MD |
| Medical School | DARTMOUTH MEDICAL SCHOOL |
| Graduation Year | 1987 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 7810254513 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410007 | RHODE ISLAND HOSPITAL |
| 410012 | THE MIRIAM HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 450 Veterans Memorial Pkwy, Unit 14, East Providence, RI 02914-5300 | 4014356600 | BROWN UROLOGY, INC. |
| 2 Dudley St, Suite 175, Providence, RI 02905-3246 | 4014210710 | BROWN UROLOGY, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 27% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 65% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 5% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 4% | |
| MIPS_EC_047_overall | Care Plan | 91% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 91% |
| Organization Legal Name | BROWN UROLOGY, INC. |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Simone Thavaseelan | Urology | Brown Urology, Inc. | 827 N Main St, Suite 4, Providence, RI 02904-5751 |
| Jo Ann M Moore | Nurse Practitioner | Brown Urology, Inc. | 195 Collyer St, Providence, RI 02904-1869 |
| Harry M Iannotti | Urology | Brown Urology, Inc. | 195 Collyer St, Suite 104, Providence, RI 02904-1869 |
| Rashmi Licht | Urology | Brown Urology, Inc. | 827 N Main St, Suite 4, Providence, RI 02904-5751 |
| Ahmed Aziz Chaudhary | Radiation Oncology | Brown Urology, Inc. | 827 N Main St, Suite 4, Providence, RI 02904-5751 |
| Steven C Lane | Radiation Oncology | Brown Urology, Inc. | 827 N Main St, Suite 4, Providence, RI 02904-5751 |
| Jacqueline M Joubert | Nurse Practitioner | Brown Urology, Inc. | 195 Collyer St, Suite 201, Providence, RI 02904-1869 |
| Gabriella Juliet Avellino | Urology | Brown Urology, Inc. | 2 Dudley St, Suite 175, Providence, RI 02905-3246 |
| Arthur Wang-yan Wong | Urology | Brown Urology, Inc. | 195 Collyer St, Suite 201, Providence, RI 02904-1869 |
| Dragan Golijanin | Urology | Brown Urology, Inc. | 195 Collyer St, Suite 104, Providence, RI 02904-1869 |
| Street Address |
2 DUDLEY ST SUITE 175 |
| City | PROVIDENCE |
| State | RI |
| Zip | 02905-3246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brad Douglas Blankenhorn | Orthopedic Surgery | University Orthopedics, Inc. | 2 Dudley St, Suite 200, Providence, RI 02905-3248 |
| Lars Stangenberg | Vascular Surgery | University Surgical Associates, Inc. | 2 Dudley St, Suite 470, Providence, RI 02905-3248 |
| Todd Stafford | General Surgery | University Surgical Associates, Inc. | 2 Dudley St, Suite 190, Providence, RI 02905-3248 |
| Phillip Lucas | Orthopedic Surgery | University Orthopedics, Inc. | 2 Dudley St, Suite 200, Providence, RI 02905-3248 |
| Amy P Pilotte | Nurse Practitioner | University Surgical Associates, Inc. | 2 Dudley St, Suite 470, Providence, RI 02905-3248 |
| Philip Haines | Cardiovascular Disease (cardiology) | Lifespan Physician Group Inc | 2 Dudley St, Providence, RI 02905-3236 |
| Jaclyn Plante | Physical Therapy | University Orthopedics, Inc. | 2 Dudley St, Suite 200, Providence, RI 02905-3248 |
| Stephanie N Lueckel | General Surgery | University Surgical Associates, Inc. | 2 Dudley St, Suite 190, Providence, RI 02905-3248 |
| Eric Benoit | General Surgery | University Surgical Associates, Inc. | 2 Dudley St, Suite 190, Providence, RI 02905-3248 |
| Nikola Babovic | Orthopedic Surgery | University Orthopedics, Inc. | 2 Dudley St, Suite 200, Providence, RI 02905-3248 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clarissa D. Lewis | Optometry | The Providence Community Health Centers Inc. | 335 Prairie Ave, Fl 2, Providence, RI 02905-1924 |
| Angel M. Eads | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Sandrine O Guilherme | Clinical Social Worker | The Providence Center Inc | 355 Prairie Ave, Providence, RI 02905-1928 |
| Katherine Williams | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Luis A Ferreira | Clinical Social Worker | The Providence Center Inc | 355 Prairie Ave, Providence, RI 02905-1928 |
| Andrew Saal | Family Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Lauren E Stewart | Obstetrics/gynecology | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Tenesha R Lisbon | Nurse Practitioner | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Elaine K Parker Williams | Nurse Practitioner | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Carla Martin | Internal Medicine | The Providence Community Health Centers Inc. | 355 Prairie Ave, Providence, RI 02905-1928 |
| Find all physicians in zip 02905 | |||
| City | PROVIDENCE |
| Zip Code | 02905 |
| Specialty | UROLOGY |
| City + Specialty | PROVIDENCE + UROLOGY |
Please comment or provide details below to improve the information on Kennon S Miller.
| 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.