KEITH L. MILLER (NPI# 1356348072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356348072 |
| Entity Type | Individual |
| Full Name | KEITH L. MILLER |
| Credential | MD |
| Practice Address |
7341 Gladiolus Dr Fort Myers FL 33908-5122 |
| Mailing Address |
2234 Colonial Blvd Fort Myers FL 33907-1412 |
| Practice Telephone | 2394893420 |
| Practice Fax Number | 2394893219 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2017-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ME0059278 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CIGNA PROVIDER NUMBER | 1664782-005 | 01 |
| FL | BCBS PROVIDER NUMBER | 12170 | 01 |
| FL | METCARE VENDOR ID # | 592485899 | 01 |
| FL | METCARE PROVIDER NUMBER | ME59278A | 01 |
| FL | WELLCARE | 15953 | 01 |
| FL | AETNA PROVIDER NUMBER | 4247093 | 01 |
| FL | UNV. HLTHCR. PROV. NUMBER | 01939 | 01 |
| FL | 269805600 | 05 | |
| FL | UNIVERSAL HLTHCR. PROV. # | 01939 | 01 |
| FL | OP. ENG. LOC. 825 PROV. # | 99885 | 01 |
| FL | AMERIGROUP GROUP NUMBER | 207227 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184020026 | Keith Allen Miller II | Specialist/Technologist | 419 Herman St, Crete, IL 60417-2905 | 2014-11-04 |
| 1831300698 | Keith A Miller | Social Worker | 36400 Woodward Ave Ste 125, Bloomfield Hills, MI 48304-0904 | 2007-05-24 |
| 1376683813 | Keith Andrew Miller | Dentist | 3613 Blue Ridge Blvd, Blue Ridge, VA 24064-1976 | 2007-02-07 |
| 1942354485 | Keith A Miller | Podiatrist | 416 Pirkle Ferry Rd Ste J500, Cumming, GA 30040-9221 | 2007-01-22 |
| 1396757613 | Keith E Miller | Family Medicine | 620 Tenaha St, Center, TX 75935-3404 | 2006-08-13 |
| 1962437285 | Keith Lyndon Miller | Optometrist | 136 Nw Second Street, Stevenson, WA 98648 | 2006-07-12 |
| 1578506028 | Keith Brumley Miller | Optometrist | 215 Gilead Rd Ste 100, Huntersville, NC 28078-6821 | 2006-06-13 |
| 1366437295 | Keith Michael Miller | Chiropractor | 655 E Broad St, Souderton, PA 18964-1220 | 2005-09-16 |
| 1801450416 | Keith S Miller | Family Medicine | 4070 Highway 17, Murrells Inlet, SC 29576-5033 | 2019-04-29 |
| 1013366277 | Keith Miller | Psychologist | 75 Dominican Rd, Suite 207, La Place, LA 70068-3400 | 2016-06-08 |
| Street Address |
7341 GLADIOLUS DR |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-5122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043214539 | Peter H. Blitzer | Radiology | 7341 Gladiolus Dr, Fort Myers, FL 33908-5122 | 2005-06-13 |
| 1518597848 | Inesa Sviridova | Physician Assistant | 7341 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2020-01-26 |
| 1205209707 | Drutika S Patel | Physician Assistant | 7341 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2015-11-05 |
| 1750774436 | Rikki Floyd | Physician Assistant | 7341 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2015-03-05 |
| 1326398488 | Nicole B Houle | Nurse Practitioner | 7341 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2012-09-17 |
| 1609079151 | Jason T Shumadine | Radiology | 7341 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2007-06-11 |
| 1699832550 | Beth A. Patrizi | Nurse Practitioner | 7341 Gladiolus Dr, Fort Myers, FL 33908-5122 | 2007-01-02 |
| 1619043700 | May Lynne Foo | Radiology | 7341 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2006-11-28 |
| 1134109747 | 21st Century Oncology LLC | Internal Medicine | 7341 Gladiolus Dr, Fort Myers, FL 33908-5122 | 2006-01-19 |
| 1760463061 | David E. Lee | Physician Assistant | 7341 Gladiolus Dr, Fort Myers, FL 33908-5122 | 2005-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609873785 | Patrick M Francke | Radiology | 2234 Colonial Blvd, Fort Myers, FL 33907-1412 | 2005-07-05 |
| 1811994999 | Michael J. Katin | Radiology | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2005-07-05 |
| 1043214539 | Peter H. Blitzer | Radiology | 7341 Gladiolus Dr, Fort Myers, FL 33908-5122 | 2005-06-13 |
| 1396398756 | Axis Radiation Oncology, LLC | Radiology | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2019-07-24 |
| 1720303589 | Arie P. Dosoretz | Radiology | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2010-04-05 |
| 1609079151 | Jason T Shumadine | Radiology | 7341 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2007-06-11 |
| 1619043700 | May Lynne Foo | Radiology | 7341 Gladiolus Dr, Fort Myers, FL 33908-5101 | 2006-11-28 |
| 1922098045 | Alan L Brown Jr. | Radiology | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2005-10-28 |
| 1194710384 | James H. Rubenstein | Radiology | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2005-09-14 |
| 1750388849 | Graciela R. Garton | Radiology | 15681 New Hampshire Ct, Fort Myers, FL 33908-4123 | 2005-07-05 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on KEITH L. 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.