JUSTIN R MILLER (NPI# 1104879493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104879493 |
| Entity Type | Individual |
| Full Name | JUSTIN R MILLER |
| Credential | D.O. |
| Practice Address |
600 Health Park Blvd Suite D Grand Blanc MI 48439-2558 |
| Mailing Address |
3495 S Center Rd Burton MI 48519-1455 |
| Practice Telephone | 8106038400 |
| Mailing Telephone | 8104242007 |
| Mailing Fax Number | 8107431099 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2010-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
5101014510 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4871363 | 05 | |
| MI | RR MEDICARE | P00317317 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013552199 | Justin Lee Miller | Registered Nurse | 1800 Nw 10th Ave Unit T215, Miami, FL 33136-1018 | 2019-11-12 |
| 1134689409 | Justin Rudolph, James Miller | Case Management | 376 Lansing Rd, Akron, OH 44312-2124 | 2019-03-22 |
| 1619334554 | Justin Miller | Specialist/Technologist | 855 N Stephanie St Unit 1124, Henderson, NV 89014-3084 | 2016-01-22 |
| 1588054985 | Justin C Miller | Counselor | 2892 N Bellflower Blvd # 281, Long Beach, CA 90815-1125 | 2015-01-23 |
| 1609132885 | Justin Tate Miller | Internal Medicine | Msc 10-5550 I University of New Mexico, Albuquerque, NM 87131-0001 | 2012-04-02 |
| 1588974836 | Justin Michael Miller | Social Worker | 20630 Route 19 Unit 101, Cranberry Township, PA 16066-6021 | 2010-10-20 |
| 1023073202 | Justin Todd Miller | Chiropractor | 107 Grandview Ave, Chicora, PA 16025-2136 | 2006-04-19 |
| 1295346096 | Justin Miller | Technician | 124 Oak St, Saint Albans, WV 25177-2111 | 2020-08-14 |
| 1912549973 | Justin Miller | Behavior Technician | 9440 Marlboro Pike, Suite 100, Upper Marlboro, MD 20772 | 2019-10-11 |
| 1659834166 | Justin Neal Miller | Student in an Organized Health Care Education/Training Program | 917 W Walnut St, Johnson City, TN 37604-6527 | 2019-04-11 |
| Street Address |
600 HEALTH PARK BLVD SUITE D |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-2558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346226495 | Derek Korte | Internal Medicine | 600 Health Park Blvd, Suite D, Grand Blanc, MI 48439-2558 | 2005-12-21 |
| 1760901003 | Health Park Medical Practice PC | Internal Medicine | 600 Health Park Blvd, Suite H, Grand Blanc, MI 48439 | 2017-09-19 |
| 1467832246 | Gwendolyn Wright | Nurse Practitioner | 600 Health Park Blvd, Ste D, Grand Blanc, MI 48439-2558 | 2015-06-05 |
| 1013229012 | Nicole A Hering | Physician Assistant | 600 Health Park Blvd, Suite G, Grand Blanc, MI 48439-2558 | 2010-07-07 |
| 1831310812 | Reeba Varghese | Physical Therapist | 600 Health Park Blvd, Ste C, Grand Blanc, MI 48439-2556 | 2007-05-01 |
| 1972643146 | Genesys Regional Medical Center | Occupational Therapy Assistant | 600 Health Park Blvd, Ste C, Grand Blanc, MI 48439-2556 | 2007-02-07 |
| 1124130539 | Riad R Dali Ahmad | Internal Medicine | 600 Health Park Blvd, Ste H, Grand Blanc, MI 48439-2558 | 2006-08-31 |
| 1730114448 | Marshall Salvatore Grillo Jr. | Surgery | 600 Health Park Blvd, Ste G, Grand Blanc, MI 48439-2558 | 2006-07-11 |
| 1942239819 | Mark J Minaudo | Internal Medicine | 600 Health Park Blvd, Suite D, Grand Blanc, MI 48439-2558 | 2006-07-02 |
| 1982658456 | Flint Gastroenterology Associates PC | Internal Medicine | 600 Health Park Blvd, Ste D, Grand Blanc, MI 48439-2558 | 2006-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1265691380 | Derek Thigpin | Internal Medicine | 600 Health Park Blvd Ste D, Grand Blanc, MI 48439-2558 | 2008-06-04 |
| 1346226495 | Derek Korte | Internal Medicine | 600 Health Park Blvd, Suite D, Grand Blanc, MI 48439-2558 | 2005-12-21 |
| 1942239819 | Mark J Minaudo | Internal Medicine | 600 Health Park Blvd, Suite D, Grand Blanc, MI 48439-2558 | 2006-07-02 |
| 1982658456 | Flint Gastroenterology Associates PC | Internal Medicine | 600 Health Park Blvd, Ste D, Grand Blanc, MI 48439-2558 | 2006-05-20 |
| 1750367504 | Richard Smith | Internal Medicine | 600 Health Park Blvd, Suite D, Grand Blanc, MI 48439-2558 | 2005-12-22 |
| 1578549325 | Michael J Neumann | Internal Medicine | 600 Health Park Blvd, Ste D, Grand Blanc, MI 48439-2558 | 2005-12-22 |
| 1952387797 | John Macksood | Internal Medicine | 600 Health Park Blvd, Suite D, Grand Blanc, MI 48439-2558 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043785561 | Digestive Health Clinic | Internal Medicine | 2486 Nerredia St Ste A, Flint, MI 48532-4807 | 2018-10-11 |
| 1053808550 | Dr. Allison Wood, Do Mph, Pllc | Internal Medicine | 4136 Legacy Pkwy Ste 100, Lansing, MI 48911-4293 | 2018-04-19 |
| 1346698784 | Spectrum Health Primary Care Partners | Internal Medicine | 2009 Holton Road, Muskegon, MI 49445 | 2016-05-26 |
| 1043698988 | Krishna Chaitanya Meka | Internal Medicine | 27301 Dequindre Rd Ste 314, Madison Heights, MI 48071 | 2015-05-12 |
| 1609260892 | Chia-yang Hsu | Internal Medicine | A. Alfred Taubman Health Care Center, 1500 East Medical Center Drive Room 3912, Ann Arbor, MI 48109 | 2015-03-25 |
| 1982015228 | Access Family Gastroenterology Pllc | Internal Medicine | G-1125 Linden Rd, Suite 500, Flint, MI 48532 | 2014-05-08 |
| 1740610401 | Gastrofit Pllc | Internal Medicine | 23500 Park St Ste 2b, Dearborn, MI 48124-2598 | 2013-11-17 |
| 1578908000 | Emily E Tommolino | Internal Medicine | 26850 Providence Pkwy Ste 510, Novi, MI 48374-1267 | 2013-05-10 |
| 1679917074 | Harold Joseph Tobes | Internal Medicine | 1205 Nakomis Trl, Lake Orion, MI 48362-1340 | 2013-04-29 |
| 1245598606 | Ziad Kanaan | Internal Medicine | 215 E Mansion St Ste 3a, Marshall, MI 49068 | 2012-04-24 |
| Find all providers with the same taxonomy | ||||
| City | GRAND BLANC |
| Zip Code | 48439 |
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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.