MANDY MILLER (NPI# 1295226504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295226504 |
| Entity Type | Individual |
| Full Name | MANDY MILLER |
| Credential | PA-C |
| Practice Address |
830 Queens Park Dr Owings Mills MD 21117-2250 |
| Practice Telephone | 4434743803 |
| Mailing Telephone | 4434743803 |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C0002202 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538707906 | Mandy Rodabough Miller | Specialist/Technologist | 8765 W Kelton Ln Ste 116, Peoria, AZ 85382-5008 | 2019-12-17 |
| 1669745642 | Mandy Michelle Miller | Social Worker | 7130 Hodgson Memorial Dr, Suite 101, Savannah, GA 31406-1526 | 2012-02-21 |
| 1720394588 | Mandy Miller | Dentist | 2133 Pepperrell St Bldg 3352, 59 Dg Af Postgraduate School, Jbsa Lackland, TX 78236-5313 | 2010-08-30 |
| 1255598264 | Mandy R Miller | Social Worker | 769 W Blaine St, Suite B, Riverside, CA 92507-3970 | 2008-05-19 |
| 1447331640 | Mandy Michele Miller | Marriage & Family Therapist | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2006-10-17 |
| Street Address |
830 QUEENS PARK DR |
| City | OWINGS MILLS |
| State | MD |
| Zip Code | 21117-2250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699303727 | Modern Medicine Express Care | Clinic/Center | 1041 Campbell Meadow Rd, Owings Mills, MD 21117 | 2020-04-01 |
| 1679111892 | Abria Therapy, LLC | Behavioral Analyst | 10451 Mill Run Circle, Suite 400, Owings Mills, MD 21117 | 2019-12-18 |
| 1194384917 | Michele Dawson Overtoom | Pharmacist | Wegmans Pharmacy #125, 10100 Reisterstown Road, Owings Mills, MD 21117 | 2019-06-06 |
| 1033675897 | Grace Residential Services, LLC | Clinic/Center | 4117 Brookside Oaks Road, Owings Mills, MD 21117 | 2019-02-18 |
| 1801373246 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10270 Mill Run Circle, Owings Mills, MD 21117 | 2018-07-27 |
| 1922513167 | Vamsh Health Services, LLC | Pharmacy | 10309 Grand Central Ave Ste 110, Owings Mills, MD 21117 | 2017-12-11 |
| 1215456652 | Safari Healthcare | Home Health | 4129 Brookside Oak Road, Owings Mills, MD 21117 | 2017-09-18 |
| 1639697964 | Rachel Tova Goldberg | Behavioral Analyst | 11907 Hunting Tweed Dr., Owings Mills, MD 21117 | 2017-09-07 |
| 1528599149 | Nest Home Care, LLC | In Home Supportive Care | 90 Painters Mill Rd Ste 223, Owings Mills, MD 21117 | 2017-03-24 |
| 1508221243 | Quality Home Care, LLC | In Home Supportive Care | 124 Embleton Road, Owings Mills, MD 21117 | 2015-12-23 |
| Find all providers in zip 21117 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150425 | Junnan Chen | Physician Assistant | 10220 S Dolfield Rd Ste 110, Owings Mills, MD 21117-3660 | 2018-10-21 |
| 1780010892 | Brooke L Parks | Physician Assistant | 23 Crossroads Dr Ste 400, Owings Mills, MD 21117-5490 | 2013-09-20 |
| 1275772683 | Shoshana M Sadigh | Physician Assistant | 7920 Mcdonogh Rd Ste 201, Owings Mills, MD 21117-5323 | 2009-02-09 |
| 1578533816 | Paul C Lane | Physician Assistant | 10210 Reisterstown Rd, Owings Mills, MD 21117-3606 | 2006-01-26 |
| 1063931210 | Tania Fakheri | Physician Assistant | 9199 Reisterstown Rd Ste 101b, Owings Mills, MD 21117-4513 | 2017-09-19 |
| 1699210179 | Jesse Tyler Bortell | Physician Assistant | 10210 Reisterstown Rd, Owings Mills, MD 21117-3606 | 2016-12-20 |
| 1528438645 | Sarah Ghazarian | Physician Assistant | 10210 Reisterstown Rd, Owings Mills, MD 21117-3606 | 2015-10-01 |
| 1699069310 | Emily E Sumner | Physician Assistant | 10210 Reisterstown Rd, Owings Mills, MD 21117-3606 | 2011-05-31 |
| 1487832663 | Ally Gordon | Physician Assistant | 21 Crossroads Dr, Suite 200, Owings Mills, MD 21117-5441 | 2008-02-10 |
| 1932399219 | Jessica Adele Vogelsong | Physician Assistant | 4 Park Center Ct, Suite 102, Owings Mills, MD 21117-5611 | 2007-08-01 |
| Find all providers in OWINGS MILLS | ||||
| City | OWINGS MILLS |
| Zip Code | 21117 |
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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.