MR. COREY MITCHELL MILLER (NPI# 1699825497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699825497 |
Entity Type | Individual |
Full Name | MR. COREY MITCHELL MILLER |
Credential | IDC |
Practice Address |
Naval Hospital Twentynine Palms Bldg 1145 Sturgis St. Twentynine Palms CA 92278-8250 |
Mailing Address |
64047 Franklin St Desert Hot Springs CA 92240-7717 |
Practice Telephone | 7608302194 |
Mailing Telephone | 8583361519 |
Enumeration Date | 2007-01-12 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
1427591304 | Corey Miller | Pharmacist | 600 Lowther St, Bellwood, PA 16617-2220 | 2016-11-28 |
1619207347 | Corey Lisa Miller | Acupuncturist | 4807 47th Ave S, Seattle, WA 98118-1827 | 2009-12-31 |
1699796482 | Corey A Miller | Ophthalmology | 1485 East 3900 South, Suite 103, Salt Lake City, UT 84124-1412 | 2006-07-21 |
1497380430 | Corey Miller | Registered Nurse | 1900 Electric Rd, Salem, VA 24153-7474 | 2020-03-10 |
1538600762 | Corey Jackson Miller | Student in an Organized Health Care Education/Training Program | 697 Thomas Ln, Columbus, OH 43214-3931 | 2017-03-20 |
1235598533 | Corey Ann Miller | Case Manager/Care Coordinator | 1430 Olive St, Suite 500, Saint Louis, MO 63103-2303 | 2016-02-15 |
1750616975 | Corey Alana Miller | Acupuncturist | 930 Mission St, #4, Santa Cruz, CA 95060-3559 | 2009-10-06 |
Street Address |
NAVAL HOSPITAL TWENTYNINE PALMS BLDG 1145 STURGIS ST. |
City | TWENTYNINE PALMS |
State | CA |
Zip Code | 92278-8250 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770143711 | Michelle Alexandra Engel | Student in an Organized Health Care Education/Training Program | Twentynine Palms Marine Base, 1591, Apo, AA 92278 | 2019-06-20 |
1427544659 | Matthew John Thacker | Dentist | 1591 Griffin Rd., Twentynine Palms, CA 92278 | 2018-07-11 |
1922541986 | Joshua Gumpert | Physician Assistant | 1560 6th St, 2nd Deck, Twentynine Palms, CA 92278 | 2016-11-23 |
1427441112 | Joshua Bellavia | Military Health Care Provider | Commanding Officer Naval Hospital Twentynine Palms, Attn: Joshua Bellavia Box 788250, Twentynine Palms, CA 92278 | 2015-03-05 |
1730583063 | Erric Leif Apeland | Military Health Care Provider | 1436 Third Street, Mcagcc, Twentynine Palms, CA 92278 | 2014-10-15 |
1609286137 | Jason Ulaner | Chiropractor | 1145 Sturgis St, Twentynine Palms, CA 92278 | 2014-05-06 |
1497184188 | Blake Lyman | Physician Assistant | 1552 6th Street, Adult Medical Care Clinic, Twentynine Palms, CA 92278 | 2013-11-04 |
1013267996 | Alonzo Jamelle Shields | Military Health Care Provider | Regimental Aid Station, 7th Marine Hq Ras, Twentynine Palms, CA 92278 | 2012-09-18 |
1184996134 | William John Becker | Physician Assistant | Mcagcc, Building 1538, Twnetynine Palms, CA 92278 | 2012-02-07 |
1962666776 | Michael D Vanmanen | Orthopaedic Surgery | Bldg 1145 Sturgis Rd, Twentynine Palms, CA 92278 | 2008-07-11 |
Find all providers in zip 92278 |
Taxonomy Code | 1710I1002X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Specialization | Independent Duty Corpsman |
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023554532 | Mikhailpietro Drilon | Military Health Care Provider | 3rd Lar Battalion, Twentynine Palms, CA 92278-8272 | 2017-01-09 |
1427441112 | Joshua Bellavia | Military Health Care Provider | Commanding Officer Naval Hospital Twentynine Palms, Attn: Joshua Bellavia Box 788250, Twentynine Palms, CA 92278 | 2015-03-05 |
1730583063 | Erric Leif Apeland | Military Health Care Provider | 1436 Third Street, Mcagcc, Twentynine Palms, CA 92278 | 2014-10-15 |
1386064608 | Alex Rubang | Military Health Care Provider | 1659 7th St, Twentynine Palms, CA 92278-8285 | 2014-04-25 |
1013267996 | Alonzo Jamelle Shields | Military Health Care Provider | Regimental Aid Station, 7th Marine Hq Ras, Twentynine Palms, CA 92278 | 2012-09-18 |
1255500609 | Jesse John Tossetti | Military Health Care Provider | 6591 49 Palms Ave, Twentynine Palms, CA 92278-8263 | 2008-02-29 |
1164606463 | Philip A. Rice | Military Health Care Provider | Building 2000 Mcagcc, Clb-7 Bas, Twentynine Palms, CA 92278-8280 | 2007-12-21 |
1427231000 | Adrian Leslie Robinson Jr. | Military Health Care Provider | 3500 Berkeley Court, B, Twentynine Palms, CA 92277 | 2007-12-06 |
1598954893 | Lejon J Jenkins | Military Health Care Provider | 6555 Bullion Ave, Unit B, Twentynine Palms, CA 92277-3293 | 2007-10-23 |
1336669415 | Omar Kareem Dalton | Military Health Care Provider | 1145 Sturgis Rd, Twentynine Palms, CA 92278 | 2017-06-21 |
Find all providers in TWENTYNINE PALMS |
City | TWENTYNINE PALMS |
Zip Code | 92278 |
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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.