EBONY DENISE MILLER (NPI# 1275041741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275041741 |
| Entity Type | Individual |
| Full Name | EBONY DENISE MILLER |
| Credential | NP |
| Practice Address |
105 Canal Landing Blvd Ste 1 Rochester NY 14626-5107 |
| Mailing Address |
553 Black Walnut Dr Rochester NY 14615-1419 |
| Practice Telephone | 5853684050 |
| Mailing Telephone | 5858020942 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
308480 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F308480-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093371759 | Ebony Miller | Physician Assistant | 8333 Naab Rd Ste 301, Indianapolis, IN 46260-1983 | 2019-05-17 |
| 1306217054 | Ebony Miller | Licensed Practical Nurse | 1205 Ashburn Dr, Sandusky, OH 44870-4338 | 2015-10-07 |
| 1285277954 | Ebony Angelique Miller | Social Worker | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2019-10-24 |
| Street Address |
105 CANAL LANDING BLVD STE 1 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626-5107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073542288 | Judith K Borbas | Internal Medicine | 105 Canal Landing Blvd Ste 1, Rochester, NY 14626-5107 | 2006-07-01 |
| 1407411424 | Norvella Leatrice Hill-junious | Registered Nurse | 105 Canal Landing Blvd Ste 1, Rochester, NY 14626-5107 | 2019-05-06 |
| 1104300508 | Kathy Saunders | Nurse Practitioner | 105 Canal Landing Blvd Ste 1, Rochester, NY 14626-5107 | 2018-09-20 |
| 1780163790 | Valentyna Oleksyuk | Nurse Practitioner | 105 Canal Landing Blvd Ste 1, Rochester, NY 14626 | 2018-08-09 |
| 1972986164 | Salman Khan | Family Medicine | 105 Canal Landing Blvd Ste 1, Rochester, NY 14626 | 2015-07-07 |
| 1124430756 | Sana Arshad | Internal Medicine | 105 Canal Landing Blvd Ste 1, Rochester, NY 14626-5107 | 2014-06-02 |
| 1316366925 | Danielle De Merieux | Internal Medicine | 105 Canal Landing Blvd Ste 1, Rochester, NY 14626 | 2014-04-10 |
| 1164771952 | Denise H Ruiz | Nurse Practitioner | 105 Canal Landing Blvd Ste 1, Rochester, NY 14626-5107 | 2012-09-07 |
| 1659631943 | Yvel Duroseau | Family Medicine | 105 Canal Landing Blvd Ste 1, Rochester, NY 14626-5107 | 2012-05-21 |
| 1508170051 | Michele Johnston | Nurse Practitioner | 105 Canal Landing Blvd Ste 1, Rochester, NY 14626-5107 | 2010-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760978084 | Elizabeth M Neenan | Nurse Practitioner | 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 | 2018-07-10 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| 1609308709 | Ulfat Shafiq | Dentist | 1100 Long Pond Rd Ste 115, Greece, NY 14626 | 2017-03-29 |
| 1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
| 1700244357 | Kerri Anne Sawyer | Registered Nurse | 82 Southridge Drive, Rochester, NY 14626 | 2016-02-10 |
| 1518398106 | Braces of Greece | Exclusive Provider Organization | 770 Fetzner Rd., Rochester, NY 14626 | 2013-12-06 |
| 1477983443 | Amy Pawlyk | Licensed Practical Nurse | 116 Annie Lane, Rochester, NY 14626 | 2013-11-12 |
| 1689911208 | Kathleen Zimmerman | Occupational Therapist | 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 | 2013-01-16 |
| Find all providers in zip 14626 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043829047 | Ruhi Bedi Sondhi | Nurse Practitioner | 601 Elmwood Ave Fl Center4, Rochester, NY 14642-0001 | 2020-07-26 |
| 1346865920 | Christopher M Mccarty | Nurse Practitioner | 2400 S Clinton Ave Bldg D, Rochester, NY 14618-2668 | 2020-06-10 |
| 1811510555 | Stacey Sang | Nurse Practitioner | 400 Red Creek Dr Ste 220, Rochester, NY 14623-4281 | 2020-05-27 |
| 1093365280 | Brittany Lewis | Nurse Practitioner | 180 Sawgrass Dr Ste 220, Rochester, NY 14620-4651 | 2019-09-19 |
| 1245891431 | Julie Loce | Nurse Practitioner | 222 Alexander St Ste 2400, Rochester, NY 14607-4010 | 2019-06-27 |
| 1467013433 | Henry Robert Newcomb | Nurse Practitioner | 300 Crittendon Blvd, Rochester, NY 14642-0001 | 2019-06-21 |
| 1689159162 | Mariya A Canham | Nurse Practitioner | 2400 S Clinton Ave, Building H, Suite 150, Rochester, NY 14618-2668 | 2018-10-01 |
| 1013447747 | Lauren Beth Bartus | Nurse Practitioner | 601 Elmwood Ave # 619, Rochester, NY 14642-0001 | 2017-06-15 |
| 1730634502 | Susan Lee Riggan | Nurse Practitioner | 408 Meadow Brook Rd, Rochester, MI 48309-4452 | 2016-08-22 |
| 1093197857 | Katelynn Ann Coffey | Nurse Practitioner | 2350 Ridgeway Ave Ste B, Rochester, NY 14626-4127 | 2015-06-29 |
| Find all providers in ROCHESTER | ||||
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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.