Michael A Miller (NPI# 1255421558, PAC ID# 8527109768) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1255421558 |
| PAC ID by PECOS | 8527109768 |
| Professional Enrollment ID | I20100109000105 |
| Full Name | Michael A Miller |
| Organization Legal Name | METHODIST MEDICAL CENTER OF ILLINOIS |
| Address |
1201 N Cummings Ln Washington IL 61571-9267 |
| Phone Number | 3094442090 |
| Gender | M |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 1355259714 |
| Number of Group Practice Members | 203 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140209 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 140013 | PROCTOR HOSPITAL |
| 140067 | OSF SAINT FRANCIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1120 E War Memorial Dr, Peoria, IL 61616-7757 | 3096854411 | IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION |
| 221 Ne Glen Oak Ave, Mmg Cardiology, Peoria, IL 61636-0001 | 3096724670 | METHODIST MEDICAL CENTER OF ILLINOIS |
| 1201 N Cummings Ln, Washington, IL 61571-9267 | 3094442090 | METHODIST MEDICAL CENTER OF ILLINOIS |
| Organization Legal Name | METHODIST MEDICAL CENTER OF ILLINOIS |
| Physicians | 227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kari M Hoffman | Nurse Practitioner | Methodist Medical Center of Illinois | 815 Main St A, Peoria, IL 61602-1080 |
| Alanna M Trettin | Physician Assistant | Methodist Medical Center of Illinois | 815 Main St, A, Peoria, IL 61602-1080 |
| Cheryl Herrmann | Certified Clinical Nurse Specialist (cns) | Methodist Medical Center of Illinois | 112 Necrescent Ave, Peoria, IL 61606-1901 |
| Lionel J Malebranche | Cardiovascular Disease (cardiology) | Methodist Medical Center of Illinois | 112 Ne Crescent Ave, Mmg Cardiology, Peoria, IL 61606-1901 |
| Melanie L Andrews | Family Medicine | Methodist Medical Center of Illinois | 221 Ne Glen Oak, Peoria, IL 61636-0001 |
| Anne M Look | Nurse Practitioner | Methodist Medical Center of Illinois | 112 Crescent Ave, Peoria, IL 61611-3257 |
| John K Kula | Anesthesiology | Methodist Medical Center of Illinois | 221 Neglen Oak Ave, Peoria, IL 61636-0001 |
| Nicholas L Warnecke | Physician Assistant | Methodist Medical Center of Illinois | 1800 Broadway St, Pekin, IL 61554-3822 |
| Melissa S Terhark | Certified Registered Nurse Anesthetist (crna) | Methodist Medical Center of Illinois | 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 |
| Robert B Adams | Family Practice | Methodist Medical Center of Illinois | 200 River Rd, East Peoria, IL 61611-2095 |
| Street Address |
1201 N CUMMINGS LN |
| City | WASHINGTON |
| State | IL |
| Zip | 61571-9267 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill Wirth Rissman | Family Medicine | Iowa Physicians Clinic Medical Foundation | 1201 N Cummings Ln, Washington, IL 61571-9267 |
| Micah D Boehr | Family Medicine | Iowa Physicians Clinic Medical Foundation | 1201 N Cummings Ln, Washington, IL 61571-9267 |
| Stephanie Rinehart | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 1201 N Cummings Ln, Washington, IL 61571-9267 |
| Michael K Lane | Physical Therapy | Professional Therapy Services Inc | 1201 N Cummings Ln, Washington, IL 61571-9267 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian D Frank | Chiropractic | 2362 Washington Rd, Washington, IL 61571-1855 | |
| T Dane Shelley | Optometry | Jak Enterprises Inc | 8 Cherry Tree Shopping Ctr, Washington, IL 61571-2170 |
| Glen Jay Sidler | Internal Medicine | 201 N Cummings Lane, Washington, IL 61571-2181 | |
| Dean L Anderson | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 201 N Cummings Ln, Washington, IL 61571-2181 |
| Lauren Johanna Cowherd | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 201 N Cummings Ln, Washington, IL 61571-2181 |
| Lee T. Kinsinger | Family Medicine | Iowa Physicians Clinic Medical Foundation | 201 N Cummings Ln, Washington, IL 61571-2181 |
| Stacey Herring | Nurse Practitioner | Iowa Physicians Clinic Medical Foundation | 201 N Cummings Ln, Washington, IL 61571-2181 |
| Todd E Funk | Optometry | 100 Hillcrest Dr, Suite B, Washington, IL 61571-2227 | |
| Jennifer E Boehs | Clinical Social Worker | Balanced | 100 Hillcrest Dr, Suite E, Washington, IL 61571-2227 |
| Jennifer M Zeck | Clinical Social Worker | Balanced | 100 Hillcrest Dr, Suite E, Washington, IL 61571-2227 |
| Find all physicians in zip 61571 | |||
| City | WASHINGTON |
| Zip Code | 61571 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WASHINGTON + 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.