KENNETH MILLER MD LLC (NPI# 1114233012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114233012 |
| Entity Type | Organization |
| Organization Name | KENNETH MILLER MD LLC |
| Practice Address |
2411 West Belvedere Avenue 202 Baltimore MD 21215 |
| Mailing Address |
Po Box 1278 Hunt Valley MD 21030-6278 |
| Practice Telephone | 2403422136 |
| Practice Fax Number | 3015701168 |
| Mailing Telephone | 2403422136 |
| Mailing Fax Number | 3015701168 |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | KENNETH MILLER (OWNER) |
| Authorized Official Telephone | 4432401682 |
| Authorized Official Credential | MP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
2411 WEST BELVEDERE AVENUE 202 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639736796 | Talal Abalkhail | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 | 2019-05-23 |
| 1235795410 | Bilal Khan | Student in an Organized Health Care Education/Training Program | 2041 West Belvedere Avenue, Balitmore, MD 21215 | 2019-05-14 |
| 1669036067 | Nasir M Alhamdan | Student in an Organized Health Care Education/Training Program | Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 | 2019-05-01 |
| 1851863971 | Brittany Michelle O'neill | Specialist/Technologist | Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 | 2018-12-31 |
| 1881164432 | Emily Gamma | Social Worker | 4810 Seton Drive, Baltimore, MD 21215 | 2018-11-27 |
| 1518440478 | Benson Baby | Physical Therapist | 2525west Belveder Ave, Baltimore, MD 21215 | 2018-09-07 |
| 1609360817 | Bonnie Kahler | Clinical Nurse Specialist | 2401 Belvedere Avenue, Baltimore, MD 21215 | 2018-06-20 |
| 1932693843 | Kelley Monica Cohill | Social Worker | Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 | 2018-06-15 |
| 1497245609 | Kimberly Beth Koerner | Social Worker | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2018-05-14 |
| 1184113078 | Mary Jo Kozel | Registered Nurse | 2401 West Belvedere, Baltimore, MD 21215 | 2018-05-07 |
| Find all providers in zip 21215 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548573660 | Wanqing Iris Zhi | Internal Medicine | The Sidney Kimmel Comprehensive Ctr, Johns Hopkins Hospital, Baltimore, MD 21287-0001 | 2010-07-18 |
| 1073755765 | Lukasz Pawel Gondek | Internal Medicine | 1650 Orleans St # 1-290, Baltimore, MD 21287-0013 | 2009-03-27 |
| 1831331644 | Daniel Kejzman | Internal Medicine | 1650 Orleans Street, Baltimore, MD 21231-1000 | 2009-03-26 |
| 1245480607 | Jean H. Hoffman-censits | Internal Medicine | 1800 Orleans St Rm 1m40, Baltimore, MD 21287 | 2008-09-23 |
| 1467652826 | Samuel Zygler | Internal Medicine | 2524 Farringdon Rd, Baltimore, MD 21209-2543 | 2007-07-23 |
| 1710033402 | Josh David Lauring | Internal Medicine | Crb I Rm 146, 1650 Orleans St, Baltimore, MD 21287-0001 | 2007-01-26 |
| 1649385634 | Panayotis Ledakis | Internal Medicine | 227 St Paul Place, 4th Floor, Baltimore, MD 21202-2001 | 2006-08-20 |
| 1467460345 | Ali Cahid Civelek | Internal Medicine | 601 N Caroline St Ste 3223a, Baltimore, MD 21287-0006 | 2006-08-04 |
| 1538184056 | Mary J Wilkinson | Internal Medicine | 1800 Orleans St Fl 10, Baltimore, MD 21287-0010 | 2006-07-13 |
| 1346276326 | Benjamin P Levy | Internal Medicine | 9910 Franklin Square Dr Ste 2110, Baltimore, MD 21236-4902 | 2006-06-23 |
| Find all providers in BALTIMORE | ||||
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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.