DR. DEREK WADE MILLER (NPI# 1699706887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699706887 |
| Entity Type | Individual |
| Full Name | DR. DEREK WADE MILLER |
| Credential | D.O. |
| Practice Address |
3105 Mcclelland Blvd. Joplin MO 64804-1640 |
| Practice Telephone | 4177812807 |
| Practice Fax Number | 4177813309 |
| Mailing Telephone | 4177812807 |
| Mailing Fax Number | 4177813309 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2011-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 2006002060 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 506033406 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205366002 | Derek Miller | Dentist | 7-174 Moos Tower 515 Delaware St. S, U of M Oral Surgery, Minneapolis, MN 55455 | 2017-06-14 |
| 1881126373 | Derek Miller | Pharmacist | 132 Douglas Ave, Holland, MI 49424-6514 | 2017-04-03 |
| 1073895199 | Derek Alan Miller | Pharmacist | 625 Pacha Pkwy, North Liberty, IA 52317-4831 | 2011-09-14 |
| 1467648808 | Derek Russell Miller | Respiratory Therapist, Registered | 5109 Horseshoe Cove Rd, Blairsville, GA 30512-7530 | 2007-09-19 |
| 1568013852 | Derek M Miller | Physician Assistant | 2101 Chapline St, Wheeling, WV 26003-3875 | 2019-09-27 |
| 1124510656 | Derek Alan Miller | Social Worker | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2018-05-31 |
| 1558810341 | Derek C. Miller | Nurse Anesthetist, Certified Registered | 1102 W 32nd St, Joplin, MO 64804-3503 | 2016-09-22 |
| 1124491212 | Derek Steven Miller | Physician Assistant | 300 S Jackson St, Suite 100, Denver, CO 80209-3176 | 2015-11-11 |
| 1639568272 | Derek Miller | Chiropractor | 3450 W Central Ave, Suite 136, Toledo, OH 43606-1416 | 2015-01-20 |
| 1316364904 | Derek Miller | Social Worker | 81 Lake Ave, Rochester, NY 14608-1410 | 2014-03-21 |
| Street Address |
3105 MCCLELLAND BLVD. |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-1640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124686886 | Ashley Nichole Trebbe | Physician Assistant | 3105 Mcclelland Blvd., Joplin, MO 64804-1640 | 2019-05-29 |
| 1982102885 | Benjamin C Long | Nurse Practitioner | 3105 Mcclelland Blvd., Joplin, MO 64804 | 2018-01-25 |
| 1619475571 | Kimberly D Thompson | Nurse Practitioner | 3105 Mcclelland Blvd., Joplin, MO 64804 | 2018-01-25 |
| 1912247156 | David Lynn Wigginton Jr. | Physician Assistant | 3105 Mcclelland Blvd., Joplin, MO 64804 | 2013-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720281330 | David Edward Eisenhauer | Orthopaedic Surgery | 100 Mercy Way Ste 430, Joplin, MO 64804-4524 | 2007-06-10 |
| 1033127543 | David A. Ball | Orthopaedic Surgery | 1111 Mc Intosh Cir, Joplin, MO 64804-3645 | 2006-08-03 |
| 1235133679 | David L Black | Orthopaedic Surgery | 3105 Mcclelland Blvd, Joplin, MO 64804-1640 | 2005-06-13 |
| 1902357379 | Missouri Southern State University | Orthopaedic Surgery | 3950 Newman Rd, Joplin, MO 64801-1512 | 2016-10-20 |
| 1730443961 | Thomas L. Sanders Jr. | Orthopaedic Surgery | 3105 Mcclelland Blvd, Joplin, MO 64804-1640 | 2012-07-03 |
| 1285856955 | Todd Joseph Twiss | Orthopaedic Surgery | 3105 Mcclelland Blvd, Joplin, MO 64804-1640 | 2007-05-03 |
| 1174684229 | Adam D. Kessler | Orthopaedic Surgery | 3105 Mcclelland Blvd, Joplin, MO 64804-1640 | 2006-12-13 |
| 1053419291 | Bruce W. Burleigh | Orthopaedic Surgery | 932 E 34th St, Joplin, MO 64804-3932 | 2006-09-20 |
| 1588617278 | Midwest Orthopaedic Surgery Inc | Orthopaedic Surgery | 3105 Mcclelland Blvd, Joplin, MO 64804-1640 | 2006-05-17 |
| 1407838469 | Thomas D Mcclain | Orthopaedic Surgery | 3126 S Jackson Ave, Suite 200, Joplin, MO 64804-2534 | 2005-11-16 |
| Find all providers in JOPLIN | ||||
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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.