JACOB MILLER (NPI# 1477089159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477089159 |
| Entity Type | Individual |
| Full Name | JACOB MILLER |
| Credential | M.D. |
| Practice Address |
20900 Biscayne Blvd Aventura FL 33180-1495 |
| Mailing Address |
1600 Medical Center Dr Huntington WV 25701-3656 |
| Practice Telephone | 3056827000 |
| Mailing Telephone | 3046911200 |
| Mailing Fax Number | 3046911287 |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2018-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 Medical Center Dr, Huntington, WV 257013656 | 3046911200 | 3046911287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922426238 | Jacob Darris Miller | Case Manager/Care Coordinator | 1100 South 2nd Street, Mount Vernon, WA 98273 | 2014-04-03 |
| 1922100650 | Jacob Roy Miller | Optometrist | 5620 W Thunderbird Rd Ste H3, Glendale, AZ 85306-4653 | 2006-09-02 |
| 1376158592 | Jacob Miller | Physical Therapist | 3633 W Waters Ave Ste 700, Tampa, FL 33614-2783 | 2020-09-14 |
| 1629696133 | Jacob Samuel Miller | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-07-10 |
| 1912522012 | Jacob Miller | Physical Therapist | 6033 W Interstate 20, Arlington, TX 76017-1042 | 2020-06-15 |
| 1689295594 | Jacob D Miller | Student in an Organized Health Care Education/Training Program | 1001 S George St, York, PA 17403-3676 | 2020-05-01 |
| 1154881282 | Jacob Nathaniel Miller | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2019-03-24 |
| 1851869820 | Jacob Anthony Miller | Physical Medicine & Rehabilitation | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2018-11-08 |
| 1558845172 | Jacob Miller | Counselor | 1312 2nd St Ne, Minneapolis, MN 55413-1132 | 2018-09-19 |
| 1225511306 | Jacob Miller | Counselor | 720 14th Ave, Longview, WA 98632-2315 | 2018-09-13 |
| Street Address |
20900 BISCAYNE BLVD |
| City | AVENTURA |
| State | FL |
| Zip Code | 33180-1495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831190743 | Anna Rita Talerico | Physician Assistant | 20900 Biscayne Blvd, Aventura, FL 33180-1407 | 2005-08-02 |
| 1710506985 | Jessica Mary Szczesny Grey | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, Aventura, FL 33180-1407 | 2020-04-08 |
| 1740819390 | Karan Thakkar | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, Aventura, FL 33180-1407 | 2020-04-06 |
| 1871122622 | Kevin Qinyi Fan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, Aventura, FL 33180-1407 | 2020-04-03 |
| 1891324745 | Iman Isayli | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, Aventura, FL 33180-1407 | 2020-04-03 |
| 1437788502 | Daryl Keith Granger II | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, Aventura, FL 33180-1495 | 2020-04-02 |
| 1346878808 | Matthew Doyle Sorensen | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, Aventura, FL 33180-1407 | 2020-03-31 |
| 1609404169 | Maria Carla Canizares-otero | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, Aventura, FL 33180-1407 | 2020-03-31 |
| 1679101018 | Neel Kapoor | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, Aventura, FL 33180-1495 | 2020-03-31 |
| 1093343568 | Frey Gugsa | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, Aventura, FL 33180-1407 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720607849 | Nabeel Rahman Khan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Boulevard, Avetura, Fl, Aventura, FL 33180 | 2020-04-09 |
| 1235766841 | Hanny Hausmann | Counselor | 2999 Ne 191 Street, Suite 902, Aventura, FL 33180 | 2020-03-24 |
| 1760976369 | Michael Ernest Molino | Optometrist | 19575 Biscayne Blvd Ste 579, Aventura, FL 33180 | 2018-06-18 |
| 1932602620 | Carmen Somarriba | Physician Assistant | 21110 Biscayne Blvd Bldg Suite400, Aventura, FL 33180 | 2018-03-09 |
| 1235631474 | Premier Florida Podiatry, Pa | Podiatrist | 3060 Ne 190th St Apt 202, Aventura, FL 33180 | 2018-03-04 |
| 1891229126 | Ifrah Zahid Butt | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd., Aventura, FL 33180 | 2017-04-13 |
| 1629500129 | Hector Hugo Gonzalez | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, South Tower, #807, Aventura Hospital and Medical Center, Aventura, FL 33180 | 2017-04-03 |
| 1457892671 | Nusen Beer | Internal Medicine | 20200 W Dixie Hwy Ste 701, Aventura, FL 33180 | 2017-03-20 |
| 1073052338 | Alfa Diagnostic LLC | Point of Service | 21355 E Dixie Hwy Ste 101, Aventura, FL 33180 | 2017-02-20 |
| 1598211740 | Katherine Mendez-martinez | Nurse Practitioner | 2925 Aventura Blvd. Suite 101, Aventura, FL 33180 | 2016-08-28 |
| Find all providers in zip 33180 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720607849 | Nabeel Rahman Khan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Boulevard, Avetura, Fl, Aventura, FL 33180 | 2020-04-09 |
| 1225666159 | Ron Matthew Israel | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd Ste 802, Aventura, FL 33180-1407 | 2020-03-27 |
| 1982246377 | Penelope Alexandra Hirt | Student in an Organized Health Care Education/Training Program | 20890 Ne 31st Pl, Aventura, FL 33180-3638 | 2019-10-17 |
| 1629632989 | Osiris Johnson | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd Ste 821, Aventura, FL 33180-1407 | 2019-04-23 |
| 1801359559 | Kenneth Wayne Roberts | Student in an Organized Health Care Education/Training Program | Aventura Hospital & Medical Center, 20900 Biscayne Blvd, Aventura, FL 33138 | 2019-04-10 |
| 1023595394 | Dafna A Brzoza | Student in an Organized Health Care Education/Training Program | 3640 Yacht Club Dr Apt 907, Aventura, FL 33180-3571 | 2018-07-19 |
| 1891229126 | Ifrah Zahid Butt | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd., Aventura, FL 33180 | 2017-04-13 |
| 1629500129 | Hector Hugo Gonzalez | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, South Tower, #807, Aventura Hospital and Medical Center, Aventura, FL 33180 | 2017-04-03 |
| 1811510282 | Lara Nicole Goldstein | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Boulevard, Aventura, FL 33180 | 2020-05-20 |
| 1710506985 | Jessica Mary Szczesny Grey | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, Aventura, FL 33180-1407 | 2020-04-08 |
| Find all providers in AVENTURA | ||||
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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.