MISHA D MILLER (NPI# 1194802371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194802371 |
| Entity Type | Individual |
| Full Name | MISHA D MILLER |
| Credential | MD |
| Practice Address |
777 Bannock St Denver CO 80204-4507 |
| Practice Telephone | 3034366000 |
| Mailing Telephone | 3034366000 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 42659 | CO | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
42659 | CO | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 42659 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1665 Aurora Ct Rm 3004, Aurora, CO 800452517 | 7208480540 | 7208480530 |
| Street Address |
777 BANNOCK ST |
| City | DENVER |
| State | CO |
| Zip Code | 80204-4507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316941735 | Teresa A Wilcox | Nurse Practitioner | 777 Bannock St, Mc 1914, Denver, CO 80204-4507 | 2005-06-13 |
| 1437765997 | Nekol R Daley | Registered Nurse | 777 Bannock St, Denver, CO 80204-4597 | 2020-09-21 |
| 1386261535 | Ivori Alexandria Zvorsky | Student in an Organized Health Care Education/Training Program | 777 Bannock St, Denver, CO 80204-4507 | 2020-07-02 |
| 1770100166 | Rachel Christina Corey-pacheco | Registered Nurse | 777 Bannock St, Denver, CO 80204-4507 | 2020-07-01 |
| 1205450202 | Jeff Foster | Registered Nurse | 777 Bannock St, Denver, CO 80204-4597 | 2020-06-04 |
| 1558990697 | Alana Byrnes | Registered Nurse | 777 Bannock St, Denver, CO 80204-4597 | 2020-04-01 |
| 1437785862 | Brian James Wang | Physician Assistant | 777 Bannock St, Denver, CO 80204-4507 | 2020-03-17 |
| 1881220648 | Marina Elyse Payne | Registered Nurse | 777 Bannock St, Denver, CO 80204-4507 | 2020-03-12 |
| 1649805649 | Karin Gallup | Registered Nurse | 777 Bannock St, Denver, CO 80204-4507 | 2020-03-10 |
| 1184259178 | Heather Krohn | Registered Nurse | 777 Bannock St, Denver, CO 80204-4597 | 2020-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205483716 | Pam Specialty Hospital of Denver LLC | Long Term Care Hospital | 1690 N Meade St, Denver, CO 80204 | 2019-08-20 |
| 1912468125 | Rachel Vanderwel | Student in an Organized Health Care Education/Training Program | 777 Bancock Street, Mc 0108, Denver, CO 80204 | 2019-03-29 |
| 1831673391 | Alexandra Wilcox | Counselor | 1175 Osage St, Suite 205, Denver, CO 80204 | 2018-09-20 |
| 1912480716 | Arieye, Inc | Ophthalmology | 3120 W 19th Ave, Unit 3, Denver, CO 80204 | 2018-09-08 |
| 1144701053 | Kristina Ann Petrosino | Dental Hygienist | 601 Broadway St., Denver, CO 80204 | 2018-08-28 |
| 1811474075 | Lindsey Spraker | Counselor | 1175 Osage Street, Suite 205, Denver, CO 80204 | 2018-07-20 |
| 1427541887 | Healthy Life Care LLC | Home Health | 500 Newton St, Denver, CO 80204 | 2018-06-11 |
| 1932601655 | Emily Gispert Weaver | Student in an Organized Health Care Education/Training Program | 301 W. 6th Ave., Denver, CO 80204 | 2018-03-08 |
| 1144745928 | Melisssa Wells | Licensed Practical Nurse | 1801 W. 13th Ave, Denver, CO 80204 | 2017-08-14 |
| 1689112948 | Tyler Stephens | Student in an Organized Health Care Education/Training Program | 2233 Champa St., Denver, CO 80204 | 2017-02-07 |
| Find all providers in zip 80204 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316994965 | Milton James Schleve | Dermatology | 2005 Franklin St, Suite 690, Denver, CO 80205-5401 | 2006-05-28 |
| 1912977083 | Karen Joy Sundby | Dermatology | 4700 Hale Pkwy, Suite 140, Denver, CO 80220-4050 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874449 | Clearview Dermatology | Dermatology | 14789 W 87th Pkwy, Arvada, CO 80005-1338 | 2020-09-08 |
| 1558981175 | Vanguard Medical Specialists LLC | Dermatology | 41 State Highway 67 Unit B, Woodland Park, CO 80863-5009 | 2020-04-23 |
| 1588284103 | Vanguard Medical Specialists LLC | Dermatology | 2620 Tenderfoot Hill St Ste 110, Colorado Springs, CO 80906-8356 | 2020-04-23 |
| 1427569243 | Clarity Dermatology Pllc | Dermatology | 4350 Limelight Avenue, Suite 205, Castle Rock, CO 80109-8034 | 2017-10-19 |
| 1770822249 | Becker Dermatology | Dermatology | 1122 Orange Pl, Boulder, CO 80304-0733 | 2013-02-04 |
| 1255637294 | Colorado Skin and Vein, P.C. | Dermatology | 195 Inverness Dr West, Ste 200, Englewood, CO 80112 | 2011-02-09 |
| 1124263546 | Kevan G Lewis Md LLC | Dermatology | 3879 E 120th Ave, Ste 238, Thornton, CO 80233-1658 | 2008-12-15 |
| 1508049206 | Todd Charles Becker | Dermatology | 2600 30th St Ste 100, Boulder, CO 80301-1237 | 2007-12-17 |
| 1265542377 | Karen B Nern | Dermatology | 1140 Edwards Village Blvd Suite B200, Edwards, CO 81632 | 2006-08-30 |
| 1902914658 | Patrick Joseph Sniezek | Dermatology | 170 Parkside Drive, Colorado Springs, CO 80910-3129 | 2006-08-25 |
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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.