DR. GORDON PAUL MILLER (NPI# 1104926195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104926195 |
| Entity Type | Individual |
| Full Name | DR. GORDON PAUL MILLER |
| Credential | M.D. |
| Practice Address |
4265 S A St Richmond IN 47374-6049 |
| Practice Telephone | 7659628843 |
| Practice Fax Number | 7659654564 |
| Mailing Telephone | 7659628843 |
| Mailing Fax Number | 7659654564 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2015-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 01028646A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100273300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881648681 | Gordon Chason Miller | Internal Medicine | 1506 E Evans St, Bainbridge, GA 39819-4364 | 2006-05-19 |
| 1053302232 | Gordon Beryl Miller Jr. | Family Medicine | 1211 Forge Road, Suite 300, Carlisle, PA 17013 | 2005-11-04 |
| 1992880751 | Gordon Allan Miller | Podiatrist | 2000 Hampton Ctr, #b, Morgantown, WV 26505-1704 | 2006-10-27 |
| 1700872447 | Gordon Roth Miller | Ophthalmology | 4300 Alton Rd, Eye Dept, Miami Beach, FL 33140-2800 | 2005-09-27 |
| Street Address |
4265 S A ST |
| City | RICHMOND |
| State | IN |
| Zip Code | 47374-6049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376098228 | Angela Durbin | Licensed Practical Nurse | 4265 S A St, Richmond, IN 47374-6049 | 2016-08-22 |
| 1811442775 | Pamela Johnson | Licensed Practical Nurse | 4265 S A St, Richmond, IN 47374-6049 | 2016-08-22 |
| 1801341763 | Tammy Long | Licensed Practical Nurse | 4265 S A St, Richmond, IN 47374-6049 | 2016-08-22 |
| 1568917417 | Bethany Cornett | Licensed Practical Nurse | 4265 S A St, Richmond, IN 47374-6049 | 2016-08-22 |
| 1760937619 | Emily Amburgery | Counselor | 4265 S A St, Richmond, IN 47374-6049 | 2016-08-22 |
| 1972058832 | Tammy Whitaker | Licensed Practical Nurse | 4265 S A St, Richmond, IN 47374-6049 | 2016-08-22 |
| 1346795200 | Debbie Steffey | Licensed Practical Nurse | 4265 S A St, Richmond, IN 47374-6049 | 2016-08-22 |
| 1578018420 | Megan Campbell | Counselor | 4265 S A St, Richmond, IN 47374-6049 | 2016-08-22 |
| 1801070479 | Erin Hayes | Counselor | 4265 S A St, Richmond, IN 47374-6049 | 2007-12-19 |
| 1093998106 | Ronnie Maurice Hibbler | Counselor | 4265 S A St, Richmond, IN 47374-6049 | 2007-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
| 1699274472 | Happy Hearts Home Care Corp | In Home Supportive Care | 335 Sw 17th Street, Richmond, IN 47374 | 2018-02-07 |
| 1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
| 1023538899 | Andrea Dengler | Registered Nurse | 1501 Chester Blvd., Reid Urgent Care, Richmond, IN 47374 | 2017-06-22 |
| 1497284186 | Lindsay A Worley | Nurse Practitioner | 1050 Reid Pkwy, Ste. 325, Urological Care, Richmond, IN 47374 | 2017-06-07 |
| 1689112039 | Shantil Dickerson | Physical Therapist | 22 Nw 11th St., Richmond, IN 47374 | 2017-02-06 |
| 1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
| 1538564216 | Lauren Joos | Physician Assistant | 1380 Lakeview Court, Richmond, IN 47374 | 2014-10-23 |
| 1588074421 | Emily Rutherford | Pharmacist | 2057 Chester Blvd, Richmond, IN 47374 | 2014-04-30 |
| 1922357870 | Elizabeth Ann Mullins | Social Worker | 301 South 4th St., Richmond, IN 47374 | 2012-09-06 |
| Find all providers in zip 47374 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
| 1588275986 | Chs Virginia Medical P C | General Practice | 901 E Byrd St Ste 190, Richmond, VA 23219-4077 | 2020-08-11 |
| 1215570700 | Eric Morgen | General Practice | 1445 S 50th St Ste A, Richmond, CA 94804-4605 | 2019-10-28 |
| 1700367679 | Healthy Schools Virginia LLC | General Practice | 9603 Gayton Rd Ste 100, Richmond, VA 23238-4964 | 2018-08-28 |
| 1114414299 | Alliance Family Practice, Inc | General Practice | 119 W Brookland Park Blvd, Richmond, VA 23222-2633 | 2018-04-15 |
| 1124570817 | Estefania Teron Cosme | General Practice | Vcuhs Dept of Pediatric Hematology Oncology, 1250 E. Marshall Street, Richmond, VA 23298 | 2016-10-27 |
| 1801134101 | Teddy Gonzalez | General Practice | 11546 Ryan Manor Dr, Richmond, TX 77406-3994 | 2013-01-21 |
| 1467704551 | Chs Virginia Medical, PC | General Practice | 2325 Bells Rd, Richmond, VA 23234-2274 | 2012-10-12 |
| 1023360112 | Chs Virginia Medical, P.C. | General Practice | 6601 W Broad St, Richmond, VA 23230-1723 | 2012-10-12 |
| 1750633137 | Chs Virginia Medical P C | General Practice | 1001 Semmes Ave, First Floor, Richmond, VA 23224-2245 | 2012-10-09 |
| 1831450287 | Priya Chandan | General Practice | 1805 Floyd Ave, Richmond, VA 23220-4513 | 2012-06-01 |
| Find all providers in RICHMOND | ||||
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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.