JACKIE S MILLER (NPI# 1053353045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053353045 |
| Entity Type | Individual |
| Full Name | JACKIE S MILLER |
| Credential | DO |
| Practice Address |
1607 E Us Highway 136 Albany MO 64402-8223 |
| Practice Telephone | 6607263311 |
| Mailing Telephone | 6607263311 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2017-12-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 104860 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 246870067 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001117 | Jackie Charlene Miller | Psychologist | 1910 37th Ave, Phenix City, AL 36870-3528 | 2020-07-23 |
| 1922549567 | Jackie L Miller | Counselor | 1517 E Huebbe Pkwy Ste A, Beloit, WI 53511-1795 | 2017-03-15 |
| 1003875311 | Jackie L Miller | Hearing Instrument Specialist | 4110 Brainerd Rd, Chattanooga, TN 37411-3700 | 2006-03-23 |
| 1316396492 | Jackie S Miller | Pharmacist | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 | 2016-06-08 |
| 1235542770 | Jackie Elaine Miller | Registered Nurse | 1880 Canton Rd, Akron, OH 44312-4074 | 2014-06-03 |
| 1770679664 | Jackie May Miller | Counselor | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2006-10-05 |
| 1205899507 | Jackie Robinson Miller | Family Medicine | 701 W Plymouth Ave, Deland, FL 32720-3236 | 2006-04-08 |
| Street Address |
1607 E US HIGHWAY 136 |
| City | ALBANY |
| State | MO |
| Zip Code | 64402-8223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063450518 | Naser O. Soghrati | Internal Medicine | 1607 E Us Highway 136, Albany, MO 64402-8223 | 2006-06-04 |
| 1477920627 | Heartland Regional Medical Center | Home Health | 1607 E Us Highway 136, Albany, MO 64402-8223 | 2015-08-24 |
| 1427201037 | Em Oliver Inc | Internal Medicine | 1607 E Us Highway 136, Albany, MO 64402-8223 | 2008-10-28 |
| 1912190620 | Northwest Medical Center Association, Inc. | Family Medicine | 1607 E Us Highway 136, Albany, MO 64402-8223 | 2007-08-27 |
| 1619004777 | Tenorio & Tenorio Md,pc | Family Medicine | 1607 E Us Highway 136, Albany, MO 64402-8223 | 2007-02-27 |
| 1568599694 | Genoveva Tenorio | Pediatrics | 1607 E Us Highway 136, Albany, MO 64402-8223 | 2007-02-27 |
| 1881729994 | Northwest Medical Center Association, Inc | Home Health | 1607 E Us Highway 136, Albany, MO 64402-8223 | 2007-02-22 |
| 1750442661 | Northwest Medical Center Association, Inc. | Home Health | 1607 E Us Highway 136, Albany, MO 64402-8223 | 2006-12-13 |
| 1689617888 | Angelia D. Martin | Family Medicine | 1607 E Us Highway 136, Nmc Albany Clinic East, Albany, MO 64402-8223 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821137266 | Howell Place LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1304 East Howell St, Albany, MO 64402 | 2007-02-05 |
| 1790837318 | Thomas Clinton Schneider | Dentist | 307 W Clay, Albany, MO 64402 | 2007-01-16 |
| 1245391028 | State of Missouri | Day Training, Developmentally Disabled Services | 809 N 13th St, Albany, MO 64402 | 2006-12-13 |
| 1427603919 | Northwest Health Services, Inc. | Clinic/Center | 101 W Jefferson St, Albany, MO 64402-1237 | 2019-08-02 |
| 1881725497 | Tlc Care Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 402 W Jefferson St, Albany, MO 64402-1242 | 2007-03-07 |
| 1174966543 | Albany Behavioral Health Services | Community/Behavioral Health | 115 N Smith St, Albany, MO 64402-1250 | 2013-04-16 |
| 1588973929 | Mary-jennifer Elizabeth Quinley | Counselor | 113 N Smith St, Albany, MO 64402-1250 | 2010-10-04 |
| 1942768197 | Kari A O'neal LLC | Counselor | 113 N Smith St, Albany, MO 64402-1250 | 2019-03-06 |
| 1467833707 | Kari Ann Oneal | Counselor | 113 N Smith St, Albany, MO 64402-1250 | 2015-06-12 |
| 1134541659 | Ssm Regional Health Services | Ophthalmology | 115 N Smith St, Albany, MO 64402-1250 | 2014-01-17 |
| Find all providers in zip 64402 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1407492796 | American Ecare | Family Medicine | 3 Computer Dr W Ste 107, Albany, NY 12205-1621 | 2019-11-21 |
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1790332831 | Granland3 LLC | Family Medicine | 2622 Dawson Rd, Albany, GA 31707-1609 | 2019-08-22 |
| 1295397065 | Cerrito Creek Family Medicine Inc | Family Medicine | 400 Evelyn Ave., St. 107, Albany, CA 94706 | 2019-07-02 |
| 1487190526 | Tracey Anyanwu | Family Medicine | 539 N Westover Blvd, 133, Albany, GA 31707-1951 | 2017-01-12 |
| 1275911828 | St Claire Gitau Sumaili | Family Medicine | 2403 Osler Ct Ste A, Albany, GA 31707-0205 | 2015-05-15 |
| 1235516071 | Daniel Barton Mosher | Family Medicine | 2605 Willetta St Sw Ste D1, Albany, OR 97321-3481 | 2015-04-30 |
| 1508129214 | Alan Shifman Charles | Family Medicine | 741 Gateview Ave, Albany, CA 94706-1029 | 2012-06-18 |
| 1770840324 | Joseph A Kelly | Family Medicine | 27 Park Ln E, #2, Albany, NY 12204-1960 | 2012-04-20 |
| Find all providers in ALBANY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.