TRAVIS DANIEL MILLER (NPI# 1427235803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427235803 |
| Entity Type | Individual |
| Full Name | TRAVIS DANIEL MILLER |
| Practice Address |
1078 Hospital Rd Fort Story VA 23459-1197 |
| Practice Telephone | 7574227936 |
| Practice Fax Number | 7574227949 |
| Mailing Telephone | 7574227936 |
| Mailing Fax Number | 7574227949 |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386272797 | Travis Miller | Student in an Organized Health Care Education/Training Program | 7a Market St, Cumberland, MD 21502-2214 | 2020-03-31 |
| 1952893117 | Travis Wayne Miller | Licensed Practical Nurse | 17614 Garnercrest Dr, Houston, TX 77095-1111 | 2018-06-04 |
| 1396262499 | Travis Michael Miller | Specialist/Technologist | Wiley Hall Rm 183, West Lafayette, IN 47906-4225 | 2017-08-29 |
| 1215457296 | Travis Miller | Dentist | 245 Hunters Vlg, New Braunfels, TX 78132-4742 | 2017-06-21 |
| 1730406307 | Travis Earl Miller | Speech-Language Pathologist | 619 Katy Dr, Maryville, MO 64468-1103 | 2010-04-22 |
| 1316958085 | Travis Aaron Miller | Allergy & Immunology | 1528 Eureka Rd, Suite 102, Roseville, CA 95661-3047 | 2006-08-10 |
| 1285241141 | Travis Lee Miller | Pharmacist | 40770 Mt Highway 35, Polson, MT 59860-7745 | 2020-09-25 |
| 1801447677 | Travis Chandler Miller | Physical Therapist | 17360 Northwest Fwy, Jersey Village, TX 77040-1114 | 2019-09-24 |
| 1356820872 | Travis Pentz Miller | Behavior Technician | 4460 S Highland Dr, Slc, UT 84124-3543 | 2018-08-07 |
| 1992184220 | Travis James Miller | Physical Therapy Assistant | 1321 Park Bayou Dr, Houston, TX 77077-1507 | 2015-05-19 |
| Street Address |
1078 HOSPITAL RD |
| City | FORT STORY |
| State | VA |
| Zip Code | 23459-1197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497218556 | Carli Michelle Deitel | Student in an Organized Health Care Education/Training Program | Uss Carter Hall, Virginia Beach, VA 23459 | 2019-04-07 |
| 1508395021 | Graham Christian Ellis | Internal Medicine | Eod Esu2 Medical Department, 2520 Midway Rd, Ste 400, Norfolk, VA 23459 | 2017-06-08 |
| 1346686888 | Jonathan Kan | Military Health Care Provider | 1855 Helicopter Road, Virginia Beach, VA 23459 | 2013-05-10 |
| 1710276480 | Michael Monroe | Military Health Care Provider | 2520 Midway Rd, Ste 200, Eodmu Two Medical Dept, Virginia Beach, VA 23459 | 2011-04-04 |
| 1922214378 | Zachary Dukane Pryor | Military Health Care Provider | 1745 10th Street, Beach Master Unit Two, Virginia Beach, VA 23459 | 2007-05-15 |
| 1962561118 | James Andrew Church | Nurse Practitioner | 642 New Guinea Rd, Ft. Story, VA 23459 | 2006-12-06 |
| 1134226988 | Mcdonald Army Health Center | Military/U.S. Coast Guard Pharmacy | 649 New Guinea Rd, Ft Story, VA 23459 | 2006-09-20 |
| 1376946897 | Lydia Kay Andaya | Military Health Care Provider | 2220 Schofield Rd, Virginia Beach, VA 23459 | 2014-09-29 |
| 1326467754 | Sajeewane Manjula Seales | Family Medicine | Naval Medical Center Portsmouth, 1035 Nider Blvd, Virginia Beach, VA 23459 | 2014-04-14 |
| 1255677332 | Daniel Wayne Davis | Physician Assistant | 1035 Nider Blvd, Suite 100, Virginia Beach, VA 23459 | 2012-12-18 |
| Find all providers in zip 23459 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455522 | Kevin Bradley | Military Health Care Provider | 903 13th St, Virginia Beach, VA 23451-4476 | 2020-07-23 |
| 1851900088 | Seth Walter | Military Health Care Provider | 1825 Olympic Dr, Virginia Beach, VA 23453-3720 | 2020-07-23 |
| 1912545534 | Ashton Neal Burnett | Military Health Care Provider | 1875 Cove Rd Bldg 3806, Virginia Beach, VA 23459-8911 | 2019-12-13 |
| 1447814090 | Francis Anthony Edquid | Military Health Care Provider | 9560 Farragut Ave, Norfolk, VA 23511-2715 | 2019-04-30 |
| 1215591888 | Nash Richard Galvan | Military Health Care Provider | 456-462 Pocahontas St, Norfolk, VA 23511 | 2019-04-29 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1578056743 | Elis Bojaxhi | Military Health Care Provider | 3044 Ashlawn Ter, Virginia Beach, VA 23452-6508 | 2018-06-12 |
| 1801307327 | Michael Wesley Dixon | Military Health Care Provider | 4008 Buchanan Dr, Hampton, VA 23669-4608 | 2017-10-24 |
| 1942719380 | Clinton James Barton | Military Health Care Provider | 1016 Norwyk Ln, Williamsburg, VA 23188-3500 | 2017-09-28 |
| 1215463104 | Markeece Oneale | Military Health Care Provider | 13020 Amesbury St, Woodbridge, VA 22192-3702 | 2017-05-11 |
| Find all providers with the same taxonomy | ||||
| City | FORT STORY |
| Zip Code | 23459 |
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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.