Andrew Hubbard Miller (NPI# 1639438070, PAC ID# 5193024396) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).
| Nation Provider ID (NPI) | 1639438070 |
| PAC ID by PECOS | 5193024396 |
| Professional Enrollment ID | I20180803000597 |
| Full Name | Andrew Hubbard Miller |
| Organization Legal Name | AUSTIN COLON AND RECTAL CLINIC PLLC |
| Address |
13915 N Mopac Expwy 100 Central Texas Colon and Rectal Surgeons Austin TX 78728 |
| Phone Number | 5124181979 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 2012 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 7810051703 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450718 | ROUND ROCK MEDICAL CENTER |
| 450809 | NORTH AUSTIN MEDICAL CENTER |
| 450056 | SETON MEDICAL CENTER AUSTIN |
| 450713 | ST DAVID'S SOUTH AUSTIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 13915 N Mopac Expwy, 100 Central Texas Colon and Rectal Surgeons, Austin, TX 78728 | 5124181979 | AUSTIN COLON AND RECTAL CLINIC PLLC |
| 4106 Medical Pkwy, Austin, TX 78756-3722 | 5124181979265 | AUSTIN COLON AND RECTAL CLINIC PLLC |
| Organization Legal Name | AUSTIN COLON AND RECTAL CLINIC PLLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thiru V Lakshman | Colorectal Surgery (proctology) | Austin Colon and Rectal Clinic Pllc | 13915 N Mopac Expwy, 100 Central Texas Colon and Rectal Surgeons, Austin, TX 78728 |
| April W Fox | Colorectal Surgery (proctology) | Austin Colon and Rectal Clinic Pllc | 4106 Medical Pkwy, Austin, TX 78756-3722 |
| David Clark Fleeger | Colorectal Surgery (proctology) | Austin Colon and Rectal Clinic Pllc | 4207 James Casey St, Suite 201, Austin, TX 78745-1193 |
| John S Mangione | Colorectal Surgery (proctology) | Austin Colon and Rectal Clinic Pllc | 4106 Medical Pkwy, Austin, TX 78756-3722 |
| Ernest Doyle Graves Iii | Colorectal Surgery (proctology) | Austin Colon and Rectal Clinic Pllc | 4106 Medical Pkwy, Austin, TX 78756-3722 |
| Amar S Shah | Colorectal Surgery (proctology) | Austin Colon and Rectal Clinic Pllc | 4106 Medical Pkwy, Austin, TX 78756-3722 |
| Robert W Cline | Colorectal Surgery (proctology) | Austin Colon and Rectal Clinic Pllc | 4106 Medical Pkwy, Austin, TX 78756-3722 |
| Ricardo Solis | Colorectal Surgery (proctology) | Austin Colon and Rectal Clinic Pllc | 4207 James Casey St, Suite 201, Austin, TX 78745-1193 |
| Street Address |
13915 N MOPAC EXPWY 100 CENTRAL TEXAS COLON AND RECTAL SURGEONS |
| City | AUSTIN |
| State | TX |
| Zip | 78728 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thiru V Lakshman | Colorectal Surgery (proctology) | Austin Colon and Rectal Clinic Pllc | 13915 N Mopac Expwy, 100 Central Texas Colon and Rectal Surgeons, Austin, TX 78728 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tina J Philip | Family Medicine | Shane Edward Keller Md Pa | 505 W Louis Henna Blvd, Suite 100 Parkway Primary Care, Austin, TX 78728-1702 |
| Shane E Keller | Family Medicine | Shane Edward Keller Md Pa | 505 W Louis Henna Blvd, Suite 100 Parkway Primary Care, Austin, TX 78728-1702 |
| Ann-marie Bourque-koch | Nurse Practitioner | Shane Edward Keller Md Pa | 505 W Louis Henna Blvd, Suite 100 Parkway Primary Care, Austin, TX 78728-1702 |
| Shawn A Tassone | Obstetrics/gynecology | 505 W Louis Henna Blvd, Suite 200, Austin, TX 78728-1703 | |
| Shelly Chicoine Hogan | Chiropractic | Chicoine Chiropractic LLC | 3407 Wells Branch Pkwy, Suite 625, Austin, TX 78728-6619 |
| Nicole C Edwards | Chiropractic | Chicoine Chiropractic LLC | 3407 Wells Branch Pkwy, Suite 625, Austin, TX 78728-6619 |
| Mark C Lesko | Chiropractic | 2013 Wells Branch Pkwy, Suite 103, Austin, TX 78728-6903 | |
| Lorraine K. Schroeder | Family Medicine | 2013 Wells Branch Pkwy, Suite 113, Austin, TX 78728-6904 | |
| Paul E Bristol | Family Medicine | 2013 Wells Branch Pkwy, Suite 113, Austin, TX 78728-6904 | |
| Pamela Krejci | Clinical Social Worker | 13805 Ann Pl, Austin, TX 78728-7702 | |
| Find all physicians in zip 78728 | |||
| City | AUSTIN |
| Zip Code | 78728 |
| Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| City + Specialty | AUSTIN + COLORECTAL SURGERY (PROCTOLOGY) |
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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.