STEPHEN MILLER MD PA (NPI# 1073584421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073584421 |
| Entity Type | Organization |
| Organization Name | STEPHEN MILLER MD PA |
| Other Organization Name | DERMATOLOGY SAN ANTONIO |
| Practice Address |
16110 Via Shavano San Antonio TX 78249-2380 |
| Practice Telephone | 2106157171 |
| Practice Fax Number | 2106156793 |
| Mailing Telephone | 2106157171 |
| Mailing Fax Number | 2106156793 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | STEPHEN P MILLER (MEDICAL DOCTOR) |
| Authorized Official Telephone | 2106157171 |
| Authorized Official Credential | M.D.P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | J7586 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RR MEDICARE PTAN GROUP | DG9652 | 01 |
| TX | STATE LICENSE | J7586 | 01 |
| TX | RR MEDICARE PTAN | P00024699 | 01 |
| TX | BCBS | 8X5050 | 01 |
| TX | NPI | 1073584421 | 01 |
| Other Name | Type Code |
|---|---|
| Dermatology San Antonio | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12415 Bandera Rd Ste 114, Helotes, TX 780234265 | 2106157171 | 2106156793 |
| 1919 Rogers Rd Ste 101, San Antonio, TX 782514775 | 2106157171 | 2106156793 |
| 524 Singing Oaks Ste 280, Bulverde, TX 780706534 | 2106157171 | 2106156793 |
| Street Address |
16110 VIA SHAVANO |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78249-2380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144291519 | Karis M Mccarroll | Dermatology | 16110 Via Shavano, San Antonio, TX 78249-2380 | 2006-02-01 |
| 1548739451 | Natalie Marshall | Physician Assistant | 16110 Via Shavano, San Antonio, TX 78249-2380 | 2018-11-20 |
| 1366703118 | Mui Kylia Lee | Dermatology | 16110 Via Shavano, San Antonio, TX 78249-2380 | 2012-06-07 |
| 1518268747 | Karis Mccarroll Md Pa | Specialist | 16110 Via Shavano, San Antonio, TX 78249-2380 | 2010-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1417566548 | Heenaben Jayantilal Rathod | Registered Nurse | 5803 Utsa Blvd, Apt #2101, San Antonio, TX 78249 | 2020-07-24 |
| 1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
| 1104472935 | Adam J Gordon | Social Worker | 6363 Dezavala Rd, San Antonio, TX 78249 | 2019-08-16 |
| 1336700582 | Michael Leland Post | Specialist/Technologist | 5150 Dezavala, San Antonio, TX 78249 | 2019-06-27 |
| 1043788722 | Stephen John Reynolds | Counselor | 5907 Trent Rnch, San Antonio, TX 78249 | 2018-11-11 |
| 1396211504 | Christina Michelle Morales | Specialist/Technologist | 4533 N Loop 1604 E, Ste 1119, San Antonio, TX 78249 | 2018-10-16 |
| Find all providers in zip 78249 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437649639 | Rf Dermatology Pllc | Dermatology | 414 Navarro St Ste 520, San Antonio, TX 78205-2527 | 2018-05-14 |
| 1497103527 | Meagan Olivia Harris | Dermatology | 2520 Broadway St Ste 202, San Antonio, TX 78215-1149 | 2016-05-31 |
| 1184064719 | Allison Barbara Sutton | Dermatology | 7979 Wurzbach Road, Msc 7876, Grossman Building, 3rd Fl, Uthscsa,department of Medicine,division of Dermatology, San Antonio, TX 78229 | 2013-06-27 |
| 1497192082 | Sarah Elizabeth Groff | Dermatology | 13535 Hausman Pass Ste 104, San Antonio, TX 78249-3581 | 2013-05-23 |
| 1326483215 | William Miller | Dermatology | 21727 Ih 10 W Ste 202, San Antonio, TX 78257 | 2013-05-06 |
| 1700154556 | Scott Henning, Do, Pa | Dermatology | 231 E Mulberry Ave # 2, San Antonio, TX 78212-3042 | 2011-12-08 |
| 1871888545 | Milton Rahmon Moore | Dermatology | 2632 Broadway St Ste 201n, San Antonio, TX 78215-1145 | 2011-06-10 |
| 1790928919 | Hedy Setyadi | Dermatology | 11212 State Highway 151 Ste 320, San Antonio, TX 78251-4502 | 2009-04-17 |
| 1154567212 | Allison Leigh Martin | Dermatology | 3327 Research Plz Ste 204, San Antonio, TX 78235-5157 | 2008-12-19 |
| 1013181916 | Annabelle Lozano Garcia | Dermatology | 1314 E Sonterra Blvd Ste 2201, San Antonio, TX 78258-4287 | 2008-04-22 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78249 |
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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.