JOHN K. MILLER (NPI# 1467457796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467457796 |
| Entity Type | Individual |
| Full Name | JOHN K. MILLER |
| Credential | M.D. |
| Practice Address |
3560 Delaware St 209 Beaumont TX 77706-3059 |
| Practice Telephone | 4098993682 |
| Mailing Telephone | 4098993682 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2019-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
J0777 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 124863503 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235621715 | John Christopher Miller | Driver | 7530 Galveston Ave, Jacksonville, FL 32211-7825 | 2018-05-31 |
| 1194163501 | John Lee Miller IIi | Counselor | 46 Royal Dr, Piscataway, NJ 08854-3294 | 2013-06-07 |
| 1306185533 | John Alexander Miller | Registered Nurse | 4220 Robert Koch Hospital Rd, Saint Louis, MO 63129 | 2013-02-07 |
| 1306198205 | John Blake Miller | Emergency Medical Technician, Intermediate | 98-838 Noelani St, Apt. 101, Pearl City, HI 96782-3501 | 2012-10-03 |
| 1992088173 | John A Miller | Psychologist | 1081 Gloria Ave, Apt D, Lima, OH 45805-2996 | 2011-09-23 |
| 1265720346 | John F Miller | Dentist | 105 Nucleus Ave, Columbia Falls, MT 59912-4010 | 2011-07-11 |
| 1467751669 | John Clarke Miller | Pharmacist | 730 Seminole Rd, Norton Shores, MI 49441-4722 | 2011-03-28 |
| 1619126950 | John D. Miller | Dentist | 543 N State Road 135, Greenwood, IN 46142-1337 | 2008-09-11 |
| 1922274265 | John B. Miller | Pharmacist | 2341 Rockminster Rd, Lexington, KY 40509-1785 | 2008-05-06 |
| 1972789527 | John Kenneth Miller | Marriage & Family Therapist | 1414 Kincaid St, Suite 207, Eugene, OR 97401-3737 | 2008-01-14 |
| Street Address |
3560 DELAWARE ST 209 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77706-3059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071915 | Dave S. Carpenter | Dentist | 3560 Delaware St, Ste 1003, Beaumont, TX 77706-3026 | 2005-05-31 |
| 1780234229 | Morgan Mayeux | Pathology | 3560 Delaware St, Beaumont, TX 77706-3067 | 2019-09-17 |
| 1033634514 | Lindsey Kathleen Hullett | Internal Medicine | 3560 Delaware St, Beaumont, TX 77706-3067 | 2017-08-07 |
| 1508392317 | Reeti K Joshi, Md Pa | Internal Medicine | 3560 Delaware St, 301, Beaumont, TX 77706-3067 | 2017-05-11 |
| 1578947438 | Desiree Rice | Counselor | 3560 Delaware St, Suite 1205, Beaumont, TX 77706-3067 | 2015-07-10 |
| 1528482486 | Dexter Simmons | Physical Therapist | 3560 Delaware St, Suite# 301, Beaumont, TX 77706-3067 | 2014-02-13 |
| 1649510694 | Jeniffer Kay Esclovon | Counselor | 3560 Delaware St, Suite 502, Beaumont, TX 77706-3067 | 2013-02-27 |
| 1235486036 | Elyse Lynn Brack | Physician Assistant | 3560 Delaware St, Suite 901, Beaumont, TX 77706-3067 | 2012-08-10 |
| 1780931154 | Bethanne Fondren Carson | Nurse Practitioner | 3560 Delaware St, Suite 502, Beaumont, TX 77706-3067 | 2012-08-05 |
| 1255686226 | Beaumont Smile Center, P.a. | Dentist | 3560 Delaware St, Suite 102, Beaumont, TX 77706-3067 | 2012-07-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176293 | Allen Family Home Care LLC | In Home Supportive Care | 4055 Dowlen Rd Ste 112, Beaumont, TX 77706 | 2018-12-27 |
| 1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
| 1336644582 | Jenny Lee Broaddus | Counselor | 8150 N. Major Dr., Beaumont, TX 77706 | 2018-03-29 |
| 1528584026 | Amanthia Peace Williams | Pedorthist | 3645 Calder Ave., Beaumont, TX 77706 | 2017-08-16 |
| 1356863286 | Nicole Denise Williams | Speech-Language Pathologist | 970 North 23rd Street, Beaumont, TX 77706 | 2017-07-12 |
| 1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
| 1508264532 | Rose Anne Essex | Dietitian, Registered | 3510 Charleston Ln, Beaumont, TX 77706 | 2014-12-08 |
| 1780001933 | C. Asteris, Inc. | Contractor | 1465 W. Lucas Dr., Beaumont, TX 77706 | 2014-03-26 |
| 1376985820 | Erica J Hayes M D P A | Preferred Provider Organization | 4a Bayou Brandt Drive, Beaumont, TX 77706 | 2013-07-25 |
| 1194162909 | Hezron Omanga | Pharmacist | 3585 N. Dowlen Road, Beaumont, TX 77706 | 2013-06-03 |
| Find all providers in zip 77706 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952626137 | Faculty Medical Group of Llusm | Radiology | 81 Highland Springs Ave Ste 102, Beaumont, CA 92223-3170 | 2010-03-31 |
| 1598811143 | Brian P Radcliffe | Radiology | 6375 Ellington Ln, Beaumont, TX 77706-4045 | 2007-01-26 |
| 1477593002 | Rex Jennings | Radiology | 3560 Delaware Street, Beaumont, TX 77706 | 2006-06-08 |
| 1447290655 | Thomas E. Gillespie | Radiology | 3560 Delaware Street, Suite 209, Beaumont, TX 77706 | 2006-06-07 |
| 1538165790 | Stephen N Cherewaty | Radiology | 25 N 11th St, Beaumont, TX 77702-2224 | 2005-06-22 |
| 1841296019 | George A Aydelott | Radiology | 3560 Delaware St Ste 209, Beaumont, TX 77706-3059 | 2005-06-22 |
| 1568089951 | Karen Elizondo | Radiology | 2830 Calder St, Beaumont, TX 77702-1809 | 2020-07-01 |
| 1952833717 | Coastal Imaging Associates, Pllc | Radiology | 3080 College St, Beaumont, TX 77701-4606 | 2017-03-31 |
| 1609210129 | Charles Gresham Rose Stoneburner Jr. | Radiology | 3080 College St, Beaumont, TX 77701-4606 | 2013-04-26 |
| 1730467366 | Brent Mainwaring Md Pa | Radiology | 3405 College St, Beaumont, TX 77701 | 2011-08-01 |
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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.