MR. TIMOTHY MILLER (NPI# 1306200423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306200423 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY MILLER |
| Credential | PA-C |
| Practice Address |
4 Hawthorne Dr Bedford NH 03110-6983 |
| Practice Telephone | 6034728888 |
| Practice Fax Number | 6034729090 |
| Mailing Telephone | (603) 472-8888 |
| Mailing Fax Number | 6034729090 |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2017-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1268 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA5793 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1268 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694643 | Timothy Michael Miller | Psychiatry & Neurology | 1441 Phale D. Hale Dr., Columbus, OH 43203 | 2020-03-20 |
| 1144872912 | Timothy Paul Miller | Specialist/Technologist | 5431 S Dorchester Ave Apt 1, Chicago, IL 60615-5370 | 2019-07-11 |
| 1710497052 | Timothy Paul Miller | Psychologist | 4163 Hamilton Ave Ste B, Cincinnati, OH 45223 | 2017-09-30 |
| 1346655453 | Timothy Reid Miller | Dentist | 27081 185th Ave Se Ste 105, Covington, WA 98042-8448 | 2014-06-26 |
| 1073882189 | Timothy James Miller | Family Medicine | 274 E. Chicago St, Coldwater, MI 49036 | 2011-12-19 |
| 1114206166 | Timothy P Miller | Physical Therapy Assistant | 1010 S. 336th St #10, Federal Way, WA 98003 | 2011-08-09 |
| 1326275082 | Timothy W Miller | Family Medicine | 1000 Greg Kruschek Highway, Norton Sound Health Corp., Nome, AK 99762 | 2009-06-19 |
| 1306018874 | Timothy E. Miller | Optometrist | 2700 N Narragansett Ave, Chicago, IL 60639-1083 | 2008-03-25 |
| 1750595906 | Timothy John Miller | Dentist | 485 South Dr Ste B, Mountain View, CA 94040-4208 | 2007-05-09 |
| 1972543213 | Timothy William Miller | Physical Therapist | 5848 Old Bethlehem Pike Suite 102, St Lukes Physical Therapy, Center Valley, PA 18034-9484 | 2006-06-07 |
| Street Address |
4 HAWTHORNE DR |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-6983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932191293 | Thomas Jackson Kleeman | Orthopaedic Surgery | 4 Hawthorne Dr, Bedford, NH 03110-6912 | 2005-08-22 |
| 1871154179 | Brenna R. Erzen | Physician Assistant | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2019-06-26 |
| 1477052033 | Ryan Ward Dumigan | Physical Therapist | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2018-02-08 |
| 1568970176 | Theresa Mary Brisson | Nurse Practitioner | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2018-01-17 |
| 1205361052 | Minimally Invasive Surgery Center of N.e., LLC | Clinic/Center | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2017-04-28 |
| 1255709135 | Benjamin C. Blanchette | Physical Therapist | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2015-09-09 |
| 1538550843 | Amy Fernald | Nurse Practitioner | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2015-02-09 |
| 1649603796 | Justine Nims-largy | Nurse Practitioner | 4 Hawthorne Dr, Bedford, NH 03110 | 2013-08-13 |
| 1821338344 | Matthew E. Porter | Physician Assistant | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2013-02-20 |
| 1679812861 | Drue A Lorenz | Physician Assistant | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2013-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| 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 |
|---|---|---|---|---|
| 1538650650 | Bluestone Healthcare Services L.L.C. | Physician Assistant | Bluestone Healthcare Services LLC 169 South River Rd, Bedford, NH 03103 | 2018-05-24 |
| 1336652833 | Alyssa Ilg | Physician Assistant | 1615 Hospital Pkwy Ste 306, Bedford, TX 76022-5936 | 2017-11-07 |
| 1023334562 | Joseph Mangum | Physician Assistant | 5 Washington Place, Suite 1b, Bedford, NH 03110 | 2010-04-08 |
| 1033358759 | Christopher G. Carter | Physician Assistant | 7 Pinewood Ter, Bedford, NH 03110-5537 | 2009-02-19 |
| 1851416986 | Deanne Marie Chapman | Physician Assistant | 20 Washington Pl Fl 2, Bedford, NH 03110-6706 | 2007-03-20 |
| 1780736777 | Ronald E Ochoa | Physician Assistant | 88 Center Rd Ste 360, Bedford, OH 44146-2711 | 2007-01-18 |
| 1811937113 | Leah Ann Franks | Physician Assistant | 1368 American Way, Bedford, VA 24523-2940 | 2006-06-07 |
| 1326006834 | Michael G Clark | Physician Assistant | 1305 Airport Fwy Ste 305, Bedford, TX 76021-6604 | 2006-05-03 |
| 1740265560 | Kirstin Dawn Pickens | Physician Assistant | 2425 Hwy 121, Bedford, TX 76021 | 2005-12-14 |
| 1861053241 | Morgan Copeland | Physician Assistant | 1701 Park Place Ave, Bedford, TX 76022-6033 | 2019-06-26 |
| Find all providers in BEDFORD | ||||
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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.