MR. MATTHEW D MILLER (NPI# 1609141902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609141902 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW D MILLER |
| Credential | PA-C |
| Practice Address |
1009 W Green St Hastings MI 49058-1710 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6163913139 |
| Practice Fax Number | 6163913044 |
| Mailing Telephone | 6164866790 |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2017-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
5601006321 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926410 | Matthew Derrick Miller | Nurse Practitioner | 9354 E Thatcher Cir, Mesa, AZ 85212-8539 | 2020-09-12 |
| 1598386385 | Matthew Ryan Miller | Registered Nurse | 711 Spring St, Santa Barbara, CA 93103-2407 | 2020-05-03 |
| 1366087082 | Matthew D Miller | Physician Assistant | 506 5th Ave Ste 2ff, Brooklyn, NY 11215-4812 | 2019-11-18 |
| 1447728951 | Matthew David Miller | Student in an Organized Health Care Education/Training Program | 5369 E 50 S, Lagro, IN 46941-9434 | 2018-11-02 |
| 1932686961 | Matthew Thomas Miller | Chiropractor | 4791 Calle Real Ste 103, Santa Barbara, CA 93110-1308 | 2018-07-23 |
| 1538682364 | Matthew Miller | Counselor | 3700 Willow Creek Rd Bldg 73, Prescott, AZ 86301-3721 | 2017-07-24 |
| 1326435215 | Matthew W Miller | Otolaryngology | 981225 University of Nebraska Medical Ctr, Omaha, NE 68198-1225 | 2015-04-19 |
| 1801216841 | Matthew Cameron Miller | Specialist/Technologist | 7715 Waterford Lakes Dr, Apt 3036, Charlotte, NC 28210-7414 | 2014-04-17 |
| 1649520933 | Matthew S Miller | Dentist | 51 Mdg/ds, Unit 2060, Apo, AA 96278-2060 | 2012-09-13 |
| 1285980581 | Matthew Stephen Miller | Pharmacist | 3791 Richardson Rd, Scotts Mills, OR 97375-9616 | 2012-07-24 |
| Street Address |
1009 W GREEN ST |
| City | HASTINGS |
| State | MI |
| Zip Code | 49058-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023001146 | Pennock Hospital | General Acute Care Hospital | 1009 W Green St, Hastings, MI 49058-1710 | 2005-08-24 |
| 1467050880 | Bettina L Jones | Dietitian, Registered | 1009 W Green St, Hastings, MI 49058-1710 | 2020-10-16 |
| 1053927442 | Christina Marie Lindahl | Physician Assistant | 1009 W Green St, Hastings, MI 49058-1710 | 2020-09-21 |
| 1174141386 | Matthew Clay Slotman | Nurse Practitioner | 1009 W Green St, Hastings, MI 49058-1710 | 2020-07-14 |
| 1023643293 | Colleen Patricia Garber | Dietitian, Registered | 1009 W Green St, Hastings, MI 49058-1710 | 2020-03-09 |
| 1730712407 | Kelsey Townley | Dietitian, Registered | 1009 W Green St, Hastings, MI 49058-1710 | 2020-02-20 |
| 1760024558 | Megan Mcconnell | Physician Assistant | 1009 W Green St, Hastings, MI 49058-1710 | 2019-10-13 |
| 1942767470 | Eric Michael Smith | Nurse Practitioner | 1009 W Green St, Hastings, MI 49058-1710 | 2019-02-20 |
| 1508321456 | Lyndi Jo Henry | Nurse Practitioner | 1009 W Green St, Hastings, MI 49058-1710 | 2019-02-05 |
| 1578036091 | Jacob R Deboni | Nurse Practitioner | 1009 W Green St, Hastings, MI 49058-1710 | 2019-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760941942 | Valerie Joy Gardiner | Licensed Practical Nurse | 1359 Avon St, Hastings, MI 49058 | 2019-03-18 |
| 1538528633 | Forefront Dermatology, S.c. | Dermatology | 1761 W M 43 Hwy Ste 2, Hastings, MI 49058 | 2016-02-17 |
| 1376936807 | Angels On The Go | Home Health | 959 1/2 Williams Dr., Hastings, MI 49058 | 2015-03-09 |
| 1134524226 | Forefront Dermatology, S.c. | Dermatology | 1005 W. Green Street, Suite 200, Hastings, MI 49058 | 2014-10-31 |
| 1417385493 | James Edgar Atkinson | Family Medicine | 2425 Kathryn Drive, Hastings, MI 49058 | 2013-10-29 |
| 1689006918 | Bosley Pharmacy No. 2 Inc | Pharmacy | 118 S. Jefferson St., Hastings, MI 49058 | 2013-08-09 |
| 1740539345 | Kristen Burpee | Physical Therapist | 535 W. Woodlawn, Hastings, MI 49058 | 2012-08-29 |
| 1932344819 | Timothy York Adams | Counselor | 1100 Willitts Rd, Hastings, MI 49058 | 2008-12-08 |
| 1689820169 | Jennifer L Nobert | Physician Assistant | 1005 W Green St Ste 202, Hastings Internal Medicine, Hastings, MI 49058 | 2008-08-15 |
| 1457578072 | Sue Ellen Eastman | Social Worker | 350 Meadow Run Drive, #3, Hastings, MI 49058 | 2007-04-18 |
| Find all providers in zip 49058 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578931960 | Morgan Lacompte | Physician Assistant | 715 N Saint Joseph Ave, Hastings, NE 68901-4451 | 2015-09-02 |
| 1710387295 | Norman Davidson | Physician Assistant | 840 Cook Rd, Hastings, MI 49058-9616 | 2014-09-03 |
| 1063824696 | Krysta Hrdlichka | Physician Assistant | 1210 1st St W, Hastings, MN 55033-1147 | 2014-06-02 |
| 1164594826 | Steven R Eernisse | Physician Assistant | 1009 W Green St, Hastings, MI 49058-1710 | 2006-11-15 |
| 1912002858 | Jennie E Szatkowski | Physician Assistant | 1009 W Green St, Hastings, MI 49058-1710 | 2006-09-14 |
| 1699709360 | Hastings Emergency Physicians Plc | Physician Assistant | 1009 W Green St, Hastings, MI 49058-1710 | 2006-07-10 |
| 1396783874 | Jerinda Schell | Physician Assistant | 1009 W Green St, Hastings, MI 49058-1710 | 2006-06-04 |
| 1942203492 | Julie K Shaw | Physician Assistant | 2115 N Kansas Ave, Ste 103, Hastings, NE 68901-2640 | 2005-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616687 | Alexandria Jaclyn Miller | Physician Assistant | 4700 Chipman Dr, Waterford, MI 48327-3413 | 2020-10-15 |
| 1639777287 | Piotr Z Purzycki | Physician Assistant | 41400 Dequindre Rd Ste 101, Sterling Heights, MI 48314-3751 | 2020-10-15 |
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1326656844 | Dominic Farrell | Physician Assistant | 224 Portchester Rd, Holland, MI 49424-2628 | 2020-07-21 |
| 1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
| 1013535343 | Maria Pavia | Physician Assistant | 41302 Scarborough Ln, Novi, MI 48375-2893 | 2020-07-13 |
| 1073130241 | Kelly F Esper | Physician Assistant | 9043 Glenwood Ln, Northville, MI 48168-9129 | 2020-07-02 |
| 1811513971 | Tasha Baker | Physician Assistant | 5444 E Whitefeather Rd, Pinconning, MI 48650-8407 | 2020-06-24 |
| 1437770054 | Sterling Ryan Maxfield | Physician Assistant | 6187 Oak Grove Rd, Howell, MI 48855-8247 | 2020-05-05 |
| 1760018808 | Rachel Renee Mackmin | Physician Assistant | 41498 Mary Kay Dr, Clinton Township, MI 48038-1989 | 2020-03-20 |
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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.