THEODORE MILLER (NPI# 1598316002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598316002 |
| Entity Type | Individual |
| Full Name | THEODORE MILLER |
| Credential | FNP |
| Practice Address |
1065 Southern Blvd Bronx NY 10459-2417 |
| Mailing Address |
161 Knob Hill Dr Hamden CT 06518-2448 |
| Practice Telephone | 7185892440 |
| Mailing Telephone | 7202357316 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
345051 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871930131 | Theodore Q Miller | Radiology | 6412 S Holt Ave, Los Angeles, CA 90056-2208 | 2013-05-28 |
| 1487613543 | Theodore Marshall Miller | Optometrist | 54 3886 Akoni Pule Hwy, Suite #5, Kapaau, HI 96755-0053 | 2006-03-18 |
| 1720078264 | Theodore H Miller | Otolaryngology | 40 North Grand Ave., Suite 101, Ft. Thomas, KY 41075 | 2005-10-26 |
| 1447620695 | Theodore Zachary Miller | Physician Assistant | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2015-09-30 |
| 1487750113 | Theodore T. Miller | Radiology | 535 E 70th St, Department of Radiology, New York, NY 10021-4872 | 2006-09-16 |
| 1376565796 | Theodore Robert Miller | Psychologist | 1700 E 38th St, Marion, IN 46953-4568 | 2006-07-24 |
| 1518924612 | Theodore R Miller | Pathology | 1600 Divisadero St, San Francisco, CA 94143-0001 | 2006-05-01 |
| 1871553420 | Theodore M Miller | Psychiatry & Neurology | 1 Hospital Ct, Bellows Falls, VT 05101-1489 | 2006-03-27 |
| 1689656829 | Theodore D Miller | Obstetrics & Gynecology | 835 Parkside St, Ripon, WI 54971-8505 | 2005-11-15 |
| Street Address |
1065 SOUTHERN BLVD |
| City | BRONX |
| State | NY |
| Zip Code | 10459-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609872035 | Claude Parola | Internal Medicine | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2005-06-21 |
| 1386243582 | Maribel Luna Cruz | Radiologic Technologist | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2020-10-20 |
| 1669080685 | Anna Katrina Reyes Florendo | Nurse Practitioner | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2020-07-15 |
| 1588280911 | Daniel James Mulcahy | Physician Assistant | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2020-06-22 |
| 1629691142 | Kelly K Smith | Nurse Practitioner | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2020-05-19 |
| 1740813856 | Oresta Victoria Borodevyc | Physician Assistant | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2020-02-17 |
| 1891327557 | Temina A Kusi | Physician Assistant | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2020-02-10 |
| 1780220590 | Maria Feliz | Social Worker | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2019-11-27 |
| 1104460237 | Josiah Guitian | Physician Assistant | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2019-11-01 |
| 1508400938 | Nayary Santana | Social Worker | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2019-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508458 | Sterling Smiles LLC | Dentist | 1022 E163rd St, Bronx, NY 10459 | 2020-11-02 |
| 1710496633 | Vitus C. Ezerioha | Licensed Practical Nurse | 870 Southern Blvd., Apt 1a, Bronx, NY 10459 | 2017-09-22 |
| 1790208403 | Jessica S Lee | Early Intervention Provider Agency | 985 Intervale Ave Apt. 2c, Bronx, NY 10459 | 2017-07-25 |
| 1669901070 | Ruthlyn Merrick | Registered Nurse | 1466 Louis Nine Blvd, Bronx, NY 10459 | 2017-06-08 |
| 1154865681 | John Wahl | Speech-Language Pathologist | 977 Fox St., Is 217, Bronx, NY 10459 | 2016-12-19 |
| 1801349675 | Aneesa Ible | Social Worker | 953 Southern Blvd, Suite 301, Odyssey House Inc., Bronx, NY 10459 | 2016-07-28 |
| 1457711277 | Agboade Ademiju | Registered Nurse | 900 Intervale Ave, Archcare, Bronx, Bronx, NY 10459 | 2016-03-07 |
| 1952760076 | Apollo Radio Dispatcher | Taxi | 801 Freeman Street, Bronx, NY 10459 | 2016-02-17 |
| 1730547522 | Foxhurst Medical of New York LLC | Surgery | 947 Southern Blvd Ste B, Bronx, NY 10459 | 2016-02-08 |
| 1063892388 | Vismar Radio Dispatch Inc. | Taxi | 1040-52 Freeman St, Bronx, NY 10459 | 2015-06-02 |
| Find all providers in zip 10459 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1659986701 | Yvette Rosemary Veras | Nurse Practitioner | 3400 Paul Ave Apt 20h, Bronx, NY 10468-1015 | 2020-09-14 |
| 1740894302 | Ajirioghene Ojadi | Nurse Practitioner | 100 Casals Pl Apt 6b, Bronx, NY 10475-3007 | 2020-09-01 |
| 1225641129 | Nancilyma Aidoo | Nurse Practitioner | 1880 Lafayette Ave Apt 20e, Bronx, NY 10473-2721 | 2020-08-28 |
| 1639780679 | Julia Donahue | Nurse Practitioner | 860 Grand Concourse Apt 7h, Bronx, NY 10451-2818 | 2020-08-13 |
| 1053920348 | Genesis Castro | Nurse Practitioner | 2194 Barnes Ave Apt A9, Bronx, NY 10462-1929 | 2020-07-23 |
| 1356969299 | Antoinette G Palmer | Nurse Practitioner | 4015 Wilder Ave, Bronx, NY 10466-2328 | 2020-07-07 |
| 1932726528 | Beena Dacosta | Nurse Practitioner | 3725 Blackstone Avenue, Apt 7e, Bronx, NY 10463 | 2020-06-29 |
| 1124640792 | Violet Nkasiobi Nnaemeka | Nurse Practitioner | 2420 Westchester Ave, Bronx, NY 10461-3569 | 2020-05-17 |
| 1033731260 | Diane Loubeau | Nurse Practitioner | 944 E 233rd St, Bronx, NY 10466-3218 | 2020-05-11 |
| Find all providers in BRONX | ||||
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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.