DR. KWON T. MILLER (NPI# 1316900848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316900848 |
| Entity Type | Individual |
| Full Name | DR. KWON T. MILLER |
| Credential | D.O. |
| Practice Address |
715 E Western Reserve Rd Youngstown OH 44514-3358 |
| Mailing Address |
Po Box 636988 Cincinnati OH 45263-6988 |
| Practice Telephone | 3307263204 |
| Practice Fax Number | 3307299316 |
| Mailing Telephone | 8889402722 |
| Mailing Fax Number | 5136328898 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2015-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
34009913 | OH | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
OS012150 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001947190 | 05 | |
| OH | 3074766 | 05 | |
| OH | MEDICARE PTAN | 4303762 | 01 |
| PA | 0019616090004 | 05 |
| Street Address |
715 E WESTERN RESERVE RD |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44514-3358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003456351 | Apex Neuropsychology Center LLC | Psychologist | 819 Southwestern Run #2, Poland, OH 44514 | 2020-01-14 |
| 1770844540 | Marie Josephine Bosio | Counselor | 7711 Forest Hill Ave, Poland, OH 44514 | 2012-06-07 |
| 1912205709 | Joseph Ivey | Occupational Therapy Assistant | 5781 Sheridan Rd. #5, Poland, OH 44514 | 2011-03-03 |
| 1770816316 | M. Maurine Fogarty | Speech-Language Pathologist | 7067 Tiffany Blvd., Poland, OH 44514 | 2009-09-15 |
| 1346462819 | Millennia Women's Healthcare, Inc | Obstetrics & Gynecology | 1040 South Commons, Suite 100, Poland, OH 44514 | 2007-05-03 |
| 1619090891 | Foundation Health Care, Inc. | Family Medicine | 755 Boardman-canfiled Road, Suite F5, Youngstown, OH 44514 | 2007-04-10 |
| 1770605339 | Luis E. Villaplana M.d.,inc | Internal Medicine | 823 Southwestern Run, Youngstown, OH 44514 | 2007-04-04 |
| 1720109127 | Stevens Optical | Technician/Technologist | 1714 Boardman-poland Rd., Boardman, OH 44514 | 2007-04-03 |
| 1568515385 | Jacqueline Ann Chorey | Counselor | 2250 E Western Reserve Rd, Poland, OH 44514 | 2007-01-18 |
| 1790834190 | James E Leonelli | Obstetrics & Gynecology | 1040 South Commons Place, Youngstown, OH 44514 | 2007-01-09 |
| Find all providers in zip 44514 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710063987 | David A Hoffman | Internal Medicine | 1220 Belmont Avenue, Youngstown, OH 44504 | 2006-10-31 |
| 1992071880 | Rami Kafa | Internal Medicine | 1001 Belmont Ave, Youngstown, OH 44504-1003 | 2012-03-26 |
| 1760757611 | Elias Tufic Saadi | Internal Medicine | 1325 Virginia Trl, Youngstown, OH 44505-1641 | 2012-03-11 |
| 1659581296 | D. A. Hoffman, Inc. | Internal Medicine | 1220 Belmont Avenue, Youngstown, OH 44504-1102 | 2007-05-23 |
| 1760541056 | John A Fry | Internal Medicine | 500 Gypsy Ln, Youngstown, OH 44504-1315 | 2006-12-06 |
| 1407925175 | Cardiovascular Associates Inc | Internal Medicine | 1001 Belmont Ave, Youngstown, OH 44504-1003 | 2006-11-07 |
| 1255427167 | Gaby B Aoun | Internal Medicine | 1001 Belmont Ave, Youngstown, OH 44504-1003 | 2006-10-05 |
| 1407881246 | Sadiq S Husain | Internal Medicine | 1001 Belmont Ave, Youngstown, OH 44504-1003 | 2006-07-11 |
| 1962432906 | Wahoub M Hout | Internal Medicine | 1001 Belmont Ave, Youngstown, OH 44504-1003 | 2006-07-04 |
| 1003846056 | Chakri Yarlagadda | Internal Medicine | 1001 Belmont Ave, Youngstown, OH 44504-1003 | 2006-07-04 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44514 |
Please comment or provide details below to improve the information on DR. KWON T. 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.