DR. GARRY TIM MILLER II (NPI# 1053568592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053568592 |
| Entity Type | Individual |
| Full Name | DR. GARRY TIM MILLER II |
| Credential | D.O. |
| Practice Address |
555 W Sr 164 North Salem UT 84653-1666 |
| Mailing Address |
1055 N 500 W Attn: Credentialing Provo UT 84604-3305 |
| Practice Telephone | 8014654813 |
| Practice Fax Number | 8018125433 |
| Mailing Telephone | 8013548225 |
| Mailing Fax Number | 8014180941 |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2020-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 7929795-1204 | UT | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 5101017699 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528386646 | Garry Owen Miller | Specialist/Technologist | 3107 E Erie Ave, Lorain, OH 44052-2549 | 2010-05-13 |
| 1891897484 | Garry Merrill Miller | Dentist | 1747 Pennsylvania Ave Nw, Suite G-100, Washington, DC 20006 | 2006-09-02 |
| 1255762332 | Garry Miller | Psychologist | 26501 Avenue 140, Porterville Developmental Center, Porterville, CA 93257-9109 | 2013-11-27 |
| Street Address |
555 W SR 164 NORTH |
| City | SALEM |
| State | UT |
| Zip Code | 84653-1666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487008603 | Douglas Robert Clark | Optometrist | 446 N State Road 198, Salem, UT 84653 | 2016-04-14 |
| 1811357791 | Melanie Pace | Dental Hygienist | 818 East 750 South, Salem, UT 84653 | 2016-03-04 |
| 1265773899 | Bill Clifford Marshall | Marriage & Family Therapist | 405 S Maple Dr, Woodland Hills, UT 84653 | 2013-03-06 |
| 1013159995 | Elder Assisted Living LLC | Assisted Living Facility | 1015 S 550 W, Salem, UT 84653 | 2009-03-24 |
| 1780884247 | David Kent Hansen | Dentist | 204 East 400 North, Suite A, Salem, UT 84653 | 2007-07-23 |
| 1154524965 | Justin Thomas Perry | Dentist | 40 South 200 West, Salem, UT 84653 | 2007-06-08 |
| 1013130947 | John E Braithwaite | Dentist | 40 S 200 W, Salem, UT 84653 | 2007-04-10 |
| 1104972827 | Salem City Corporation | Ambulance | 30 W 100 S, Salem, UT 84653 | 2007-01-26 |
| 1700989209 | James Bryan Bonny | Dentist | 245 W State Hwy 198, Suite 6, Salem, UT 84653 | 2006-09-07 |
| 1578574570 | Kids Who Count | Day Training, Developmentally Disabled Services | 345 N Sr 198, Salem, UT 84653 | 2006-08-11 |
| Find all providers in zip 84653 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831708916 | P3 Health Partners-oregon LLC | Internal Medicine | 2525 12th St Se Ste 240250, Salem, OR 97302-2281 | 2020-07-24 |
| 1285279042 | Gaps Health Or PC | Internal Medicine | 780 Commercial St Se Ste 100, Salem, OR 97301-3465 | 2019-11-15 |
| 1427476753 | Lee Austin Fredrickson Jr. | Internal Medicine | 2020 E State St Ste C, Salem, OH 44460-2479 | 2014-04-03 |
| 1407119381 | Christina Joy Mckinnis | Internal Medicine | 27 Silverbrook Rd, Salem, NH 03079-4067 | 2012-06-16 |
| 1124331392 | Xi Zheng | Internal Medicine | 1049 Edgewater St Nw, Salem, OR 97304-4046 | 2010-07-16 |
| 1578894689 | Gary D Ollbrich Inc | Internal Medicine | 1044 Commercial St Se, Salem, OR 97302-4112 | 2010-01-29 |
| 1700114105 | Edward W Cipolla Do Pa | Internal Medicine | 330 Woodstown Rd Ste 1, Salem, NJ 08079-2093 | 2009-11-23 |
| 1275700825 | Jatinder Aujla | Internal Medicine | 55 Highland Ave Ste 304, Salem, MA 01970-2100 | 2008-05-13 |
| 1780889386 | Ryan D Zaklin | Internal Medicine | 84 Highland Ave Ste 311, Salem, MA 01970-2733 | 2007-06-15 |
| 1043338940 | Douglas Michael Carney | Internal Medicine | 960 Liberty St Se Ste 140, Salem, OR 97302-4165 | 2007-03-27 |
| Find all providers in SALEM | ||||
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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.