DR. GLENN PATTERSON MILLER JR. (NPI# 1427233006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427233006 |
| Entity Type | Individual |
| Full Name | DR. GLENN PATTERSON MILLER JR. |
| Credential | M.D. |
| Practice Address |
1400 Nw 12th Ave Miami FL 33136-1003 |
| Practice Telephone | 3055851178 |
| Practice Fax Number | 3053267065 |
| Mailing Telephone | 3055851178 |
| Mailing Fax Number | 3053267065 |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2013-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME116675 | FL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 225758 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457815219 | Glenn K Miller | Massage Therapist | 231 S Washington Ave, Newport, WA 99156-9670 | 2019-01-25 |
| 1902108764 | Glenn Edward Miller | Obstetrics & Gynecology | 1431 Ocean Avenue, #720, Santa Monica, CA 90401-2148 | 2010-11-30 |
| 1780991000 | Glenn R Miller | Chiropractor | 2901 Druid Park Dr Ste 106, Ashburton Chiropractic, Baltimore, MD 21215-8172 | 2010-09-08 |
| 1487820163 | Glenn Miller Jr. | Family Medicine | 700 Fayette St, Conshohocken, PA 19428-1701 | 2008-05-02 |
| 1760676043 | Glenn Miller | Technician/Technologist | 845 Columbia Ave, Suite A, Lancaster, PA 17603-3224 | 2007-08-30 |
| 1871786079 | Glenn Howard Miller | Psychiatry & Neurology | 8213 Tomlinson Ave, Bethesda, MD 20817-4413 | 2007-08-21 |
| 1841410974 | Glenn Paul Miller | Dentist | 11550 Philadelphia Road Suite #118, Whitemarsh, MD 21162 | 2007-04-30 |
| 1265650196 | Glenn Elliott Miller | Psychiatry & Neurology | 629 State St Ste 245, Santa Barbara, CA 93101-7074 | 2007-04-23 |
| 1922198118 | Glenn A Miller | Oral & Maxillofacial Surgery | 10200 West Main Street, Signal Hill Medical Building, Belleville, IL 62223-1495 | 2006-10-16 |
| 1265456602 | Glenn R Miller | Podiatrist | 7101 S Staples St Ste 103, Corpus Christi, TX 78413-5543 | 2006-07-27 |
| Street Address |
1400 NW 12TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33136-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043211832 | Thomas J Fernandez | Nurse Anesthetist, Certified Registered | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2005-08-03 |
| 1811598469 | Elizabeth Olga Ferrer | Dietitian, Registered | 1400 Nw 12th Ave, Miami, FL 33136-1087 | 2020-11-02 |
| 1043810286 | Jose R Belen | Physician Assistant | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2020-10-27 |
| 1023617438 | Lazaro Alejandro Gonzalez | Nurse Practitioner | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2020-10-19 |
| 1285232843 | Julia Bradley | Physical Therapist | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2020-10-15 |
| 1841816386 | Daniel Andres Lozada | Registered Nurse | 1400 Nw 12th Ave, Miami, FL 33136-1087 | 2020-06-21 |
| 1346873296 | Lillian Soto | Nurse Practitioner | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2020-02-19 |
| 1699315804 | Laira D Sanchez | Nurse Practitioner | 1400 Nw 12th Ave, Miami, FL 33136-1087 | 2020-01-15 |
| 1093350803 | Edgard Roa | Nurse Practitioner | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2019-11-15 |
| 1659915569 | Natalie Collazo | Registered Nurse | 1400 Nw 12th Ave, Miami, FL 33136-1003 | 2019-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875685 | Agustina Dirocco | Registered Nurse | 1611 Ne 12th Ave, Miami, FL 33136 | 2020-09-15 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1992327761 | Jorge Luis Cardenas Alvarez | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 | 2020-05-14 |
| 1104447036 | Denver Steven Pinto | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 | 2020-05-01 |
| 1992325724 | Dimple Kumar Chanamolu | Student in an Organized Health Care Education/Training Program | Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 | 2020-04-22 |
| 1578100996 | Alex Aziz Al Khoury | Internal Medicine | 1120 Nw 14th St. Suite 1112, Miami, FL 33136 | 2019-12-04 |
| 1437708872 | Marie Jeanjean | Genetic Counselor, MS | 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 | 2019-09-09 |
| 1710543905 | Tal Friehmann | Student in an Organized Health Care Education/Training Program | Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 | 2019-05-14 |
| 1285297895 | Omar Munoz | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 | 2019-04-18 |
| 1902369648 | Seyedeh Haleh Amirian | Student in an Organized Health Care Education/Training Program | 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 | 2019-04-10 |
| Find all providers in zip 33136 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831749977 | Imed Surgical of Miami, Pa | Surgery | 175 Sw 7th St Ste 1710, Miami, FL 33130-2957 | 2019-09-19 |
| 1205349347 | George Garami | Surgery | 4000 Towerside Ter, Miami, FL 33138-2235 | 2017-11-12 |
| 1043662224 | Rafael Miyashiro Nunes Dos Santos | Surgery | 1801 Nw 9th Ave Rm 329, Miami, FL 33136 | 2016-07-12 |
| 1710344429 | Lazaro J Vizcon | Surgery | 10580 Sw 66th Ter, Miami, FL 33173-1308 | 2016-01-26 |
| 1871902627 | Kelsey Ensor | Surgery | Trauma Surgery, 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2014-08-06 |
| 1215353727 | Southern Wound Care LLC | Surgery | 9055 Sw 73rd Ct, Suite 1708, Miami, FL 33156-2931 | 2014-03-07 |
| 1861829640 | Bello Surgimed Services | Surgery | 7171 Coral Way Ste 307, Miami, FL 33155-1692 | 2013-10-10 |
| 1154769008 | Elliot Sumner Bishop | Surgery | 1611 Nw 12th Ave Ofc 2169, Miami, FL 33136-1005 | 2013-06-12 |
| 1942543160 | Humberto Basto | Surgery | 2300 Ne 215th St, Miami, FL 33180-1054 | 2013-04-05 |
| 1134487705 | Marlon Pastrana | Surgery | 7800 Sw 87th Ave Ste B210, Miami, FL 33173-2537 | 2012-05-02 |
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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.