LISA D MILLER (NPI# 1538154687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538154687 |
| Entity Type | Individual |
| Full Name | LISA D MILLER |
| Credential | MD |
| Practice Address |
910 Wallace Ave Leitchfield KY 42754 |
| Mailing Address |
908 Wallace Ave Leitchfield KY 42754-1479 |
| Practice Telephone | 2702599651 |
| Practice Fax Number | 2702590346 |
| Mailing Telephone | 2702599651 |
| Mailing Fax Number | 2702590346 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2020-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 44680 | KY | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 35596 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3866106 | 05 | |
| KY | 7100181130 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303473 | Lisa Ann Miller | Pharmacist | 7937 W Poplar Dr, Mequon, WI 53097-3279 | 2020-10-15 |
| 1972140317 | Lisa Hilda Miller | Chore Provider | 3061 Bond St, Pahrump, NV 89061-9003 | 2019-12-04 |
| 1942841093 | Lisa Anne Miller | Marriage & Family Therapist | 4618 Noble Ave, Sherman Oaks, CA 91403-2437 | 2019-09-30 |
| 1245700970 | Lisa Acri Miller | Pharmacist | 1805 Rhoda Ave, Mount Joy, PA 17552-9535 | 2018-11-26 |
| 1356816888 | Lisa Shea Miller | Counselor | 4741 Gardenia Trce, Mount Olive, AL 35117-3461 | 2018-10-11 |
| 1124535562 | Lisa M Miller | Counselor | 1211 Austin Rd, Opelousas, LA 70570 | 2018-01-08 |
| 1093221210 | Lisa Miller | Licensed Practical Nurse | 2048 Friar Tuck Cir, Adrian, MI 49221-2754 | 2017-12-26 |
| 1851833164 | Lisa Miller | Community Health Worker | 178 Hwy 93 Sunset Strip, Sunset, LA 70584 | 2016-11-17 |
| 1780070359 | Lisa C Miller | Registered Nurse | 1400 N Pecan Rd, Ponca City, OK 74604-4131 | 2015-04-10 |
| 1902155823 | Lisa Jill Miller | Registered Nurse | 4540 Ne Glisan, Portland, OR 97213 | 2012-09-06 |
| Street Address |
910 WALLACE AVE |
| City | LEITCHFIELD |
| State | KY |
| Zip Code | 42754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162268 | Joseph C Petrocelli | Surgery | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2005-05-27 |
| 1992306450 | Karen Michelle Manning | Nurse Practitioner | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2020-11-02 |
| 1104454834 | Grayson County Hospital Foundation Inc | Obstetrics & Gynecology | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2020-03-30 |
| 1649743667 | Concord Company of Tennessee Pllc | Physician Assistant | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2019-01-03 |
| 1891267290 | Kristen Russell | Nurse Practitioner | 910 Wallace Ave, Leitchfield, KY 42754 | 2018-12-23 |
| 1265900955 | Callie J Hancock | Nurse Anesthetist, Certified Registered | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2018-11-12 |
| 1568941987 | Robert Wayne Fuller | Physical Therapist | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2018-08-07 |
| 1114442324 | Jared Crocker | Nurse Anesthetist, Certified Registered | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2017-08-08 |
| 1518332691 | Eric Powell | Physical Therapist | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2015-12-01 |
| 1427434026 | Robert Holland | Nurse Anesthetist, Certified Registered | 910 Wallace Ave, Leitchfield, KY 42754 | 2015-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750816849 | April Braun | Occupational Therapy Assistant | 121 Byrtle Grove Rd, Leitchfield, KY 42754 | 2017-04-26 |
| 1124429766 | Scott Anthony Gibson | Counselor | 805 Commerce Dr, Leitchfield, KY 42754 | 2014-09-15 |
| 1013328137 | Sandra M Dennis | Counselor | 505 O Riley St, Leitchfield, KY 42754 | 2014-05-12 |
| 1699071258 | Ellen Renae Pharis | Massage Therapist | 205 Fraim St, Leitchfield, KY 42754 | 2011-01-31 |
| 1184664096 | Joseph Michael Harris Jr. | Physical Therapist | 201 South Main Street, Leitchfield, KY 42754 | 2006-06-08 |
| 1689611469 | Joseph Michael Mulligan | Nurse Anesthetist, Certified Registered | 515 Lake Front Rd., Leitchfield, KY 42754 | 2006-06-01 |
| 1407838030 | Lincoln Trail District Health Dept | Public Health or Welfare | 124 E White Oak St, Leitchfield, KY 42754 | 2005-11-18 |
| 1487646527 | Larry Brett Abney | Optometrist | 31 Bobby Bland Way, Leitchfield, KY 42754 | 2005-08-16 |
| 1336142025 | Ted B Rogers | Orthopaedic Surgery | 908 Wallace Ave, Leitchfield, KY 42754 | 2005-05-27 |
| 1912486887 | Jeanette Marie Jacobs | Pediatrics | 901 Wallace Ave, Leitchfield, KY 42754 | 2018-08-10 |
| Find all providers in zip 42754 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053638288 | Twin Lakes Medical Foundation, Inc. | Internal Medicine | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2010-04-28 |
| 1346573334 | Hospital Care Consultants of Leitchfield | Internal Medicine | 910 Wallace Ave, Suite 908, Leitchfield, KY 42754-2414 | 2009-09-09 |
| 1255526307 | Tony W Lee Do Medical Offices, Pllc | Internal Medicine | 908 Wallace Ave, Suite 203, Leitchfield, KY 42754-1479 | 2007-09-12 |
| 1154360394 | Craig Arby Johnson | Internal Medicine | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2006-06-05 |
| 1043261902 | Gregory Gordon Skaggs | Internal Medicine | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2006-05-15 |
| 1497753123 | Tony W Lee | Internal Medicine | 912 Wallace Ave, Leitchfield, KY 42754-2404 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587555 | Isaiah House Inc | Internal Medicine | 975 Hustonville Rd Ste 9, Danville, KY 40422-2165 | 2020-10-30 |
| 1245830017 | James Duncan Md Consulting Service | Internal Medicine | 109 Venetian Way, Danville, KY 40422-9028 | 2020-10-29 |
| 1689280216 | Hmps Internal Medicine of West Louisville Pllc | Internal Medicine | 2730 Brownsboro Rd Apt 164, Louisville, KY 40206-1268 | 2020-09-18 |
| 1548887086 | Neck Back & Knee Center Inc | Internal Medicine | 7560 Us 42 Ste A, Florence, KY 41042-1908 | 2020-07-01 |
| 1295351484 | Commonwealth Health Corporation, Inc | Internal Medicine | 350 Park St Ste 102, Bowling Green, KY 42101-1700 | 2020-06-23 |
| 1518594282 | Integra-telemedicine | Internal Medicine | 4108 Clearwater Way, Lexington, KY 40515-6000 | 2020-03-24 |
| 1356985907 | Peter Aliu Md Pllc | Internal Medicine | 103 Stable Way, Nicholasville, KY 40356-8047 | 2019-11-06 |
| 1609420272 | Telemedicine House Calls, LLC | Internal Medicine | 2161 S Boundary Rd, Radcliff, KY 40160-9686 | 2019-07-31 |
| 1174085203 | New Hope Recovery LLC | Internal Medicine | 2503 Bush Ridge Dr Ste A, Louisville, KY 40245-5885 | 2019-04-06 |
| 1104383322 | New Dawn 365 Centers Pllc | Internal Medicine | 2101 Wiltshire Pl, Lexington, KY 40515-1167 | 2019-02-24 |
| Find all providers with the same taxonomy | ||||
| City | LEITCHFIELD |
| Zip Code | 42754 |
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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.