Mark L Miller (NPI# 1558474130, PAC ID# 7214031715) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1558474130 |
| PAC ID by PECOS | 7214031715 |
| Professional Enrollment ID | I20070322000187 |
| Full Name | Mark L Miller |
| Organization Legal Name | TRIAD HEALTH SYSTEMS, INC. |
| Address |
120 Progress Way Owenton KY 40359-6032 |
| Phone Number | 5024842117 |
| Gender | M |
| Credential | DO |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4082798699 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 181310 | CARROLL COUNTY MEMORIAL HOSPITAL |
| 180138 | BAPTIST HEALTH LAGRANGE |
| Address | Phone | Organization |
|---|---|---|
| 329 Floyd Dr, Carrollton, KY 41008-8261 | 5027321082 | TRIAD HEALTH SYSTEMS, INC. |
| 120 Progress Way, Owenton, KY 40359-6032 | 5024842117 | TRIAD HEALTH SYSTEMS, INC. |
| 441 Us Hwy 42 W, Warsaw, KY 41095-9561 | 8595671591 | TRIAD HEALTH SYSTEMS, INC. |
| Organization Legal Name | TRIAD HEALTH SYSTEMS, INC. |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Michelle Black | Nurse Practitioner | Triad Health Systems, Inc. | 329 Floyd Dr, Carrollton, KY 41008-8261 |
| Cheryl B Baker | Nurse Practitioner | Triad Health Systems, Inc. | 120 Progress Way, Owenton, KY 40359-6032 |
| Barbara J Newell | Family Medicine | Triad Health Systems, Inc. | 441 Us Hwy 42 W, Warsaw, KY 41095-9561 |
| Jasmine K Birchall | Nurse Practitioner | Triad Health Systems, Inc. | 441 Us Hwy 42 W, Warsaw, KY 41095-9561 |
| Larry C Johnson | Family Medicine | Triad Health Systems, Inc. | 329 Floyd Dr, Carrollton, KY 41008-8261 |
| Susan A Sanford | Nurse Practitioner | Triad Health Systems, Inc. | 441 Us Hwy 42 W, Warsaw, KY 41095-9561 |
| Larry Joseph Gross | Psychiatry | Triad Health Systems, Inc. | 120 Progress Way, Owenton, KY 40359-6032 |
| Eric C Baumann | Family Medicine | Triad Health Systems, Inc. | 329 Floyd Dr, Carrollton, KY 41008-8261 |
| William F Metzger | Optometry | Triad Health Systems, Inc. | 120 Progress Way, Owenton, KY 40359-6032 |
| Cindy J Haines | Nurse Practitioner | Triad Health Systems, Inc. | 120 Progress Way, Owenton, KY 40359-6032 |
| Street Address |
120 PROGRESS WAY |
| City | OWENTON |
| State | KY |
| Zip | 40359-6032 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl B Baker | Nurse Practitioner | Triad Health Systems, Inc. | 120 Progress Way, Owenton, KY 40359-6032 |
| Larry Joseph Gross | Psychiatry | Triad Health Systems, Inc. | 120 Progress Way, Owenton, KY 40359-6032 |
| Del A Burchell | Internal Medicine | Summit Medical Group, Inc. | 120 Progress Way, Owenton, KY 40359-6032 |
| William F Metzger | Optometry | Triad Health Systems, Inc. | 120 Progress Way, Owenton, KY 40359-6032 |
| Cindy J Haines | Nurse Practitioner | Triad Health Systems, Inc. | 120 Progress Way, Owenton, KY 40359-6032 |
| Rodney E Young | Psychologist, Clinical | Triad Health Systems, Inc. | 120 Progress Way, Owenton, KY 40359-6032 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda Ann D'erminio | Certified Clinical Nurse Specialist (cns) | Northern Kentucky Mental Health Mental Retardation Regional Board | 155 W Seminary, Qwenton, KY 40359 |
| Kimberly Troxel | Nurse Practitioner | Northern Kentucky Mental Health Mental Retardation Regional Board | 155 W Seminary, Qwenton, KY 40359 |
| Polly V Fields | Clinical Social Worker | Northern Kentucky Mental Health Mental Retardation Regional Board | 155 W Seminary, Qwenton, KY 40359 |
| Sharon S Wynn | Psychiatry | Northern Kentucky Mental Health Mental Retardation Regional Board | 155 W Seminary, Qwenton, KY 40359 |
| Lawrence M Lindeman | Clinical Social Worker | Northern Kentucky Mental Health Mental Retardation Regional Board | 155 W Seminary, Qwenton, KY 40359 |
| Heather Masters | Clinical Social Worker | Northern Kentucky Mental Health Mental Retardation Regional Board | 155 W Seminary, Qwenton, KY 40359 |
| Erin A Schwartz | Chiropractic | 405 A Roland Ave, Owenton, KY 40359-1401 | |
| James Arthur Ziege | Physical Therapy | 327 N Main St, Suite 5and6, Owenton, KY 40359-1409 | |
| Amar U Patel | Diagnostic Radiology | Radiology Associates of Northern Kentucky Pllc | 330 Roland Ave, Owenton, KY 40359-1502 |
| Anne E Kleimeyer | Diagnostic Radiology | Radiology Associates of Northern Kentucky Pllc | 330 Roland Ave, Owenton, KY 40359-1502 |
| Find all physicians in zip 40359 | |||
| City | OWENTON |
| Zip Code | 40359 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OWENTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark L 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.