MERIDA A MILLER (NPI# 1205046646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205046646 |
| Entity Type | Individual |
| Full Name | MERIDA A MILLER |
| Credential | M.D. |
| Practice Address |
4155 Cty Rd 101 N Plymouth MN 55446 |
| Mailing Address |
8170 33rd Ave S Po Box 1309 Mail Stop 21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 9529938900 |
| Practice Fax Number | 9529938955 |
| Mailing Telephone | 9529938900 |
| Mailing Fax Number | 9529938955 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2016-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 58634 | MN | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 37302 | IA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | R-7121 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK BCBS | 56646 | 01 |
| Street Address |
4155 CTY RD 101 N |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114552379 | Molly M Mahoney | Pharmacist | 4110 Juneau Lane N, Plymouth, MN 55446 | 2020-03-09 |
| 1073064804 | Owen Payne Kusick | Student in an Organized Health Care Education/Training Program | 16717 49th Pl N, Plymouth, MN 55446 | 2016-10-17 |
| 1043696214 | Kari Shoemaker | Speech-Language Pathologist | 5855 Cheshire Parkway, Plymouth, MN 55446 | 2015-08-10 |
| 1902206899 | Kathleen E Steensma | Nurse Practitioner | 15700 37th Ave N. #110, Plymouth, MN 55446 | 2014-08-27 |
| 1851715163 | Group Health Plan Inc | Clinic/Center | 5000 Fernbrook Ln N, Plymouth, MN 55446 | 2014-02-06 |
| 1588903009 | Laura Davidson | Physician Assistant | 3365 Plymouth Blvd., Suite 110, Plymouth, MN 55446 | 2013-02-04 |
| 1366680688 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6025 Shenandoah Ln N, Plymouth, MN 55446 | 2009-01-23 |
| 1376684746 | West Metro Ophthalmology, Pa | Ophthalmology | 15655 37th Ave N Ste 200, Plymouth, MN 55446 | 2007-02-09 |
| 1952401390 | Grand St Paul Cvs LLC | Pharmacy | 4140 Rd 101 N, Plymouth, MN 55446 | 2006-09-25 |
| 1427156249 | Oceanview Management Inc | Dentist | 15910 46th Ave N, Plymouth, MN 55446 | 2006-09-20 |
| Find all providers in zip 55446 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083056873 | Jordan Physician Associates, Inc | Obstetrics & Gynecology | 46 Obery Street, Plymouth, MA 02360 | 2013-07-23 |
| 1376686832 | Sanford E Leslie | Obstetrics & Gynecology | 147 Court St, Plymouth, MA 02360-3807 | 2007-02-15 |
| 1114083045 | Joel J Baron | Obstetrics & Gynecology | 2 Driftwood Ln, Plymouth, MA 02360-2094 | 2006-12-28 |
| 1275693772 | Deborah S Wooten-angelo | Obstetrics & Gynecology | 101 Court St, 4th Floor Unit 8, Plymouth, MA 02360-8718 | 2006-12-12 |
| 1598785073 | Bora Ozguler | Obstetrics & Gynecology | 16510 Pretty Lake Rd, Suite 106, Plymouth, IN 46563-8264 | 2006-07-20 |
| 1508817891 | Juliann Corsini | Obstetrics & Gynecology | 110 Long Pond Road, Suite 101, Plymouth, MA 02360 | 2006-05-12 |
| 1962477224 | Maryanne C Bombaugh | Obstetrics & Gynecology | 118 Long Pond Rd, Plymouth, MA 02360-2662 | 2006-02-21 |
| 1982688008 | John Ray Addy | Obstetrics & Gynecology | 13200 Cambridge Ct, Plymouth, MI 48170-3099 | 2005-12-01 |
| 1356324057 | Plymouth Ob-gyn Associates Inc | Obstetrics & Gynecology | 101 Long Pond Road, Suite 101, Plymouth, MA 02360 | 2005-11-28 |
| 1932196409 | Noreen C Faulkner | Obstetrics & Gynecology | 1919 Lake Ave Ste 106, Plymouth, IN 46563-7830 | 2005-09-30 |
| Find all providers in PLYMOUTH | ||||
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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.