SPENCER MILLER


Address: 3525 E Louise Drive Suite 400, Meridian, ID 83642-6303
Phone: 2083221680

SPENCER MILLER (NPI# 1720342777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720342777
Entity Type Individual
Full Name SPENCER MILLER
Credential MD
Practice Address 3525 E Louise Drive Suite 400
Meridian
ID 83642-6303
Practice Telephone 2083221680
Mailing Telephone 2083221680
Enumeration Date 2012-06-25
Last Update Date 2018-04-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 56645 MN Allopathic & Osteopathic Physicians
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
M-14148 ID Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
3525 E Louise Drive Suite 400, Meridian, ID 836426303 2083221680

Other Providers SPENCER MILLER

NPI Name Taxonomy Address Enumeration
1538398755 Spencer Miller Hearing Instrument Specialist 29 Fayette Street, Belle Vernon, PA 15012 2009-07-09
1386796191 Spencer Owen Miller Psychiatry & Neurology 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 2007-01-18

Office Location

Street Address 3525 E LOUISE DRIVE SUITE 400
City MERIDIAN
State ID
Zip Code 83642-6303

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174145684 Ikdo South Meridian LLC Dentist 3839 E Amity Rd, Meridian, ID 83642 2020-05-07
1073133328 Prescription Pad LLC Pharmacy 885 S Vanguard Way, Meridian, ID 83642 2020-04-16
1609412683 Meridian Advanced Psychiatry, LLC Psychiatry & Neurology 1672 S Woodsage Ave., Meridan, ID 83642 2019-11-25
1194378927 Sergey Tsema Occupational Therapist 1259 E Pisa St, Meridian, ID 83642 2019-07-21
1003478629 Chris R Jackson Dentist Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 2019-07-03
1285293118 Morgan Family Medicine Nurse Practitioner 1660 S Woodsage Avenue, Meridian, ID 83642 2019-06-13
1033772793 Nugen Healthcare, Pllc Registered Nurse 2177 S Spoonbill Ave, Meridian, ID 83642 2019-04-18
1811471790 Courtney Crossland Physician Assistant 4949 S Hillsdale Ave., Meridian, ID 83642 2018-09-18
1841771938 Katelyn Perry Counselor 2068 S. Eagle Rd., Meridian, ID 83642 2018-08-27
1114406204 Gem Prep: Meridian LLC Case Management 2750 E.gala Ct., Meridian, ID 83642 2018-08-09
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649264003 Donald K Stott Internal Medicine 3025 W Cherry Ln, Meridian, ID 83642-1125 2005-08-31
1942204284 John B Hicks Internal Medicine 1213 56th St, Meridian, MS 39305-1447 2005-06-01
1407858541 Randall Scott Joransen Internal Medicine 2024 15th St Fl 2, Meridian, MS 39301-4130 2005-06-01
1932540960 Usman I Salahuddin Internal Medicine 1800 12th St, Meridian, MS 39301-4190 2013-07-05
1295085892 Zaid Fakhri Altheeb Internal Medicine 4909 Great River Drive, Meridian, MS 39305 2012-09-12
1396927448 Attila Roka Internal Medicine 1600 22nd Ave, Meridian, MS 39301-3223 2007-11-30
1477747632 Idaho Heart Care Internal Medicine 3025 W Cherry Ln, Suite 205, Meridian, ID 83642-8531 2007-08-30
1225232895 Larry Shea Shea Hailey Internal Medicine 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 2007-06-14
1538282678 Brian P Nolan Internal Medicine 3525 E Louise Dr, Suite 400, Meridian, ID 83642 2007-04-06
1578620746 Meridian Hma LLC Internal Medicine 1102 Constitution Ave, Meridian, MS 39301-4001 2007-01-03
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Competitor

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City MERIDIAN
Zip Code 83642

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Dataset Information

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.

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