ROBERTO MILLER (NPI# 1124159488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124159488 |
| Entity Type | Individual |
| Full Name | ROBERTO MILLER |
| Credential | PA-C |
| Practice Address |
11 N Maple St Grant MI 49327-7900 |
| Mailing Address |
1615 Michigan Ave Baldwin MI 49304-7984 |
| Practice Telephone | 2318340444 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2013-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601004786 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11 N MAPLE ST |
| City | GRANT |
| State | MI |
| Zip Code | 49327-7900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124092838 | Lisabeth Joy Gee | Physician Assistant | 11 N Maple St, Grant, MI 49327 | 2006-02-17 |
| 1134761968 | Amanda Ludlow | Counselor | 11 N Maple St, Grant, MI 49327-7900 | 2019-10-14 |
| 1548773377 | Abrielle Kay Lamphere | Dental Hygienist | 11 N Maple St, Grant, MI 49327-7900 | 2017-11-15 |
| 1295257509 | Brett J Stacer | Physician Assistant | 11 N Maple St, Grant, MI 49327-7900 | 2017-07-10 |
| 1669844122 | Debbie Symon | Dental Hygienist | 11 N Maple St, Grant, MI 49327-7900 | 2015-10-23 |
| 1780056259 | Amy Loper | Dental Hygienist | 11 N Maple St, Grant, MI 49327-7900 | 2015-10-23 |
| 1104219260 | Kristyn Heins | Counselor | 11 N Maple St, Grant, MI 49327-7900 | 2015-03-13 |
| 1598171506 | Jacqueline Lopez Mendoza | Dentist | 11 N Maple St, Grant, MI 49327-7900 | 2014-07-10 |
| 1033523311 | Miranda Bickel | Dentist | 11 N Maple St, Grant, MI 49327-7900 | 2014-06-16 |
| 1134547565 | Karen Miller | Pharmacist | 11 N Maple St, Grant, MI 49327-7900 | 2014-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255366563 | Michael G Nichols | Dentist | 11 N Maple, Grant, MI 49327 | 2006-07-12 |
| 1396096004 | Nicole A Parrott | Nurse Practitioner | 96 E 120th St, Grant, MI 49327 | 2012-09-21 |
| 1740431832 | Gerald Van Wieren, M.d., P.C. | Internal Medicine | 71 S Front St, Grant, MI 49327 | 2008-10-07 |
| 1932121852 | Roderick W Stepter | Dentist | 11 N Maple, Box 7, Grant, MI 49327 | 2006-07-24 |
| 1033144340 | Kelly Jean Bulk | Physician Assistant | 11 N Maple, Grant, MI 49327 | 2006-07-12 |
| 1992928204 | Michael John Vokits | Pharmacist | 53 S. Maple, Grant, MI 49327-0125 | 2007-04-11 |
| 1235465675 | Baruch Sls, Inc. | Clinical Medical Laboratory | 50 S Maple St, Grant, MI 49327-8426 | 2009-10-20 |
| 1003959784 | Sarah Christine Willmore | Pharmacist | 53 S Maple St, Grant, MI 49327-8426 | 2007-02-14 |
| 1861501306 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 53 South Maple Street, Grant, MI 49327-8426 | 2006-08-29 |
| 1144742610 | Michael Lee Buss | Pharmacist | 53 S Maple St, Grant, MI 49327-8426 | 2017-07-16 |
| Find all providers in zip 49327 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750391504 | James Hilbrand | Physician Assistant | 230 S Maple St, Grant, MI 49327-9006 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616687 | Alexandria Jaclyn Miller | Physician Assistant | 4700 Chipman Dr, Waterford, MI 48327-3413 | 2020-10-15 |
| 1639777287 | Piotr Z Purzycki | Physician Assistant | 41400 Dequindre Rd Ste 101, Sterling Heights, MI 48314-3751 | 2020-10-15 |
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1326656844 | Dominic Farrell | Physician Assistant | 224 Portchester Rd, Holland, MI 49424-2628 | 2020-07-21 |
| 1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
| 1013535343 | Maria Pavia | Physician Assistant | 41302 Scarborough Ln, Novi, MI 48375-2893 | 2020-07-13 |
| 1073130241 | Kelly F Esper | Physician Assistant | 9043 Glenwood Ln, Northville, MI 48168-9129 | 2020-07-02 |
| 1811513971 | Tasha Baker | Physician Assistant | 5444 E Whitefeather Rd, Pinconning, MI 48650-8407 | 2020-06-24 |
| 1437770054 | Sterling Ryan Maxfield | Physician Assistant | 6187 Oak Grove Rd, Howell, MI 48855-8247 | 2020-05-05 |
| 1760018808 | Rachel Renee Mackmin | Physician Assistant | 41498 Mary Kay Dr, Clinton Township, MI 48038-1989 | 2020-03-20 |
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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.