DR. PHILLIP M MILLER (NPI# 1285625350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285625350 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP M MILLER |
| Credential | M.D. |
| Practice Address |
408 Pine St Mount Shasta CA 96067-2126 |
| Practice Telephone | 5309267196 |
| Practice Fax Number | 5309261026 |
| Mailing Telephone | 5309267196 |
| Mailing Fax Number | 5309261026 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2019-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G86729 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G867290 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16337 Everhart Dr, Weed, CA 960949400 | 5309382297 | 5309380494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497124762 | Phillip A Miller | Nurse Practitioner | 1501 Military Rd, Benton, AR 72015-2914 | 2015-09-17 |
| 1295972214 | Phillip Gardener Miller | Contractor | 739 Cedar Gate Rd, Millers Home Improvement, Monroe, VA 24574 | 2009-01-13 |
| 1780727453 | Phillip Gregory Miller | Dentist | 901 S Crockett Ave, Sonora, TX 76950-7837 | 2007-02-14 |
| 1922188085 | Phillip Hickson Miller | Dentist | 104 Kings Chapel Rd, Augusta, GA 30907-4001 | 2006-10-16 |
| 1366930521 | Phillip Miller | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124-5532 | 2018-04-24 |
| 1427306927 | Phillip Dwayne Miller II | Physical Therapist | G2037 S Center Rd, Ste. A, Burton, MI 48519-1173 | 2012-08-15 |
| 1114220076 | Phillip Vernon Miller | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2010-12-15 |
| 1710134994 | Phillip Miller | Psychologist | 1901 E 1st St, Newton, KS 67114-5010 | 2008-08-19 |
| 1922261551 | Phillip L Miller | Nurse Practitioner | 2516 Broadmoor Blvd, Monroe, LA 71201-2988 | 2008-07-03 |
| Street Address |
408 PINE ST |
| City | MOUNT SHASTA |
| State | CA |
| Zip Code | 96067-2126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942632534 | Dignity Health | Clinic/Center | 408 Pine St, Mount Shasta, CA 96067-2126 | 2013-08-06 |
| 1760787774 | Jennifer Mary Cronin | Physician Assistant | 408 Pine St, Mount Shasta, CA 96067-2126 | 2011-01-21 |
| 1215194733 | John Milo Katana | Family Medicine | 408 Pine St, Mount Shasta, CA 96067-2126 | 2008-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538786322 | Lynn Louise Lloyd | Acupuncturist | 522 E. Alma St, Mount Shasta, CA 96067 | 2020-06-29 |
| 1356971626 | Insight Wellness Institute | Clinic/Center | 1005 Ream Ave, Mount Shasta, CA 96067 | 2020-01-24 |
| 1720477052 | Mountain Medics Inc | Ambulance | 234 Gateway Park Drive, Mount Shasta, CA 96067 | 2015-01-09 |
| 1093120172 | Diana L Muncy | Counselor | 301 N Mount Shasta Blvd Ste 2, Mount Shasta, CA 96067 | 2014-06-26 |
| 1174851901 | Aaron Michael Stutz | Emergency Medicine | 234 Gateway Park Dr., Mount Shasta, CA 96067 | 2009-12-07 |
| 1487875415 | Blanchard Leroy Foster Jr. | Marriage & Family Therapist | 110 W. Castle Street, Suite 100, Mount Shasta, CA 96067 | 2007-05-01 |
| 1699815639 | Sally Mcfall | Marriage & Family Therapist | 1180-b Mount Shasta Blvd, Mt Shasta, CA 96067 | 2007-02-07 |
| 1174672174 | Anna Klimaszewski | Marriage & Family Therapist | 425 Oakway Rd, Mt Shasta, CA 96067 | 2007-01-09 |
| 1548355969 | John Cunningham | Marriage & Family Therapist | 705 Pine St., Mt Shasta, CA 96067 | 2006-10-03 |
| 1245330844 | Jacqueline Wilkinson Gilbert-parker | Physician Assistant | 822 Pine Street, Mount Shasta, CA 96067 | 2006-09-24 |
| Find all providers in zip 96067 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316922024 | John Karl Capos | Family Medicine | 620 S Mount Shasta Blvd, Mount Shasta, CA 96067-2530 | 2005-12-14 |
| 1164416764 | David Glenn Holst | Family Medicine | 824 Pine St, Mount Shasta, CA 96067-2137 | 2005-09-09 |
| 1922092527 | Ronald Kaminski Lagro | Family Medicine | 912 Pine St, Mount Shasta, CA 96067-2143 | 2005-09-09 |
| 1154864379 | Richard Ingle Md Inc | Family Medicine | 914 Pine St, Mount Shasta, CA 96067-2143 | 2016-11-19 |
| 1477834810 | Marie-elizabeth Ramas Md Inc | Family Medicine | 914 Pine St, Mount Shasta, CA 96067-2143 | 2011-08-30 |
| 1104148550 | Elizabeth Stelz D O Inc A Medical Corporation | Family Medicine | 914 Pine St, Mount Shasta, CA 96067-2143 | 2010-02-25 |
| 1215194733 | John Milo Katana | Family Medicine | 408 Pine St, Mount Shasta, CA 96067-2126 | 2008-05-21 |
| 1922202654 | Siskiyou Medical Group | Family Medicine | 830 Pine St, Mount Shasta, CA 96067-2137 | 2007-06-14 |
| 1851516694 | Elizabeth A Stelz Do Inc | Family Medicine | 101 Old Mccloud Rd, Mount Shasta, CA 96067-2796 | 2007-04-16 |
| 1114056389 | Good Medicine A Medical Corporation | Family Medicine | 101 Old Mccloud Rd, Mount Shasta, CA 96067-2796 | 2007-03-05 |
| Find all providers in MOUNT SHASTA | ||||
| City | MOUNT SHASTA |
| Zip Code | 96067 |
Please comment or provide details below to improve the information on DR. PHILLIP M MILLER.
| 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.