MR. JOSEPH JERALD MILLER (NPI# 1720476914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720476914 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH JERALD MILLER |
| Credential | CRNA |
| Practice Address |
405 W Jackson Street Sih Medical Group Anesthesia Carbondale IL 62903-7646 |
| Mailing Address |
Po Box 3988 Carbondale IL 62902-3988 |
| Practice Telephone | 6185490721 |
| Practice Fax Number | 6185290449 |
| Mailing Telephone | 6184575200 |
| Mailing Fax Number | 6185290586 |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2020-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 180592 | TN | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 041378411 | IL | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 209012463 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | GROUP PTAN | 214881 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 510 Lincoln Drive, Sih Medical Group Anesthesia, Herrin, IL 62948 | 6189976800 | 6189938188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689201170 | Joseph Miller | Student in an Organized Health Care Education/Training Program | 5620 E Alder Ave, Mesa, AZ 85206-1506 | 2020-03-24 |
| 1003380262 | Joseph Jeffrey Miller | Nurse Practitioner | 6965 Tutt Blvd Ste 100, Colorado Springs, CO 80923-3597 | 2019-01-21 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1154788982 | Joseph Christopher Miller | Physical Therapist | 2201 Ridgewood Rd Ste 210, Wyomissing, PA 19610-1196 | 2016-01-25 |
| 1811371057 | Joseph Vincent Miller | Physical Therapy Assistant | 3310 Sw Eveningside Dr, Apt 28, Topeka, KS 66614-3749 | 2015-07-17 |
| 1922428192 | Joseph R Miller | Podiatrist | Off Highway 191 and Hospital Road, Chinle, AZ 86503-8000 | 2014-04-25 |
| 1417292335 | Joseph Albert Miller | Specialist/Technologist | 20 S 41st St, Apt 158, Council Bluffs, IA 51501-4701 | 2012-12-04 |
| 1003192451 | Joseph Martin Miller | Counselor | 2440 Se Federal Hwy Ste D, Stuart, FL 34994-4531 | 2011-10-31 |
| 1760615835 | Joseph A Miller | Dentist | 3406a Daly St, Twentynine Palms, CA 92277-9467 | 2009-08-24 |
| 1952581290 | Joseph Paul Miller | Specialist/Technologist | 121 Poplar Way, Brick, NJ 08724-2501 | 2007-11-04 |
| Street Address |
405 W JACKSON STREET SIH MEDICAL GROUP ANESTHESIA |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62903-7646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858806 | Jeffrey Lee Frakes | Anesthesiology | 405 W Jackson Street, Sih Medical Group Anesthesiology, Carbondale, IL 62901 | 2005-08-15 |
| 1124538475 | Ryan Nankervis | Registered Nurse | 405 W Jackson Street, Dba Sih Medical Group Anesthesiology, Carbondale, IL 62901-1462 | 2017-10-01 |
| 1265852644 | Purnima Sharma | Anesthesiology | 405 W Jackson Street, Dba Sih Medical Group Anesthesiology, Carbondale, IL 62901 | 2014-04-23 |
| 1225470602 | Michael Stanley | Anesthesiology | 405 W Jackson Street, Dba Sih Medical Group Anesthesiology, Carbondale, IL 62901 | 2013-07-25 |
| 1811240187 | Vikram S Bajwa | Anesthesiology | 405 W Jackson Street, Sih Medical Group Anesthesiology, Carbondale, IL 62901 | 2012-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447625918 | Integrative Spine Care, LLC | Pain Medicine | 364 Lake Indian Hills Circle, Carbondale, IL 62903 | 2015-12-09 |
| 1811949910 | Devon G Barnes | Nurse Anesthetist, Certified Registered | 35 Albany Road, Suite C, Carbondale, IL 62903 | 2006-05-17 |
| 1316282130 | Centerstone of Illinois, Inc | Community/Behavioral Health | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2012-12-05 |
| 1861009128 | Ashley Pruett | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-09-30 |
| 1477167823 | Zachary Woosley | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-09-03 |
| 1215553110 | Margaret K Henry | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-06-17 |
| 1053934489 | Matthew Picchietti | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-05-20 |
| 1487287835 | Lyndsey Wideman | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-02-13 |
| 1124659024 | Matthew Leigh | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-01-29 |
| 1447890199 | Nicholas Foy | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-01-10 |
| Find all providers in zip 62903 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639223464 | James David Wade | Nurse Anesthetist, Certified Registered | 35 Albany Rd Ste C, Carbondale, IL 62903-7605 | 2007-01-22 |
| 1811949910 | Devon G Barnes | Nurse Anesthetist, Certified Registered | 35 Albany Road, Suite C, Carbondale, IL 62903 | 2006-05-17 |
| 1811989627 | Pamela Kay Sparling | Nurse Anesthetist, Certified Registered | 450 W Jackson St, Dba Sih Medical Group Anesthesiology, Carbondale, IL 62901-1463 | 2005-08-17 |
| 1871113696 | Summer R Black | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2020-04-22 |
| 1972099067 | Andrew Mcnally | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2018-07-02 |
| 1134610587 | Megan E Sims | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2018-05-22 |
| 1861991671 | Ashley Marie Browning | Nurse Anesthetist, Certified Registered | 1239 E Main St, Carbondale, IL 62901-3175 | 2018-02-07 |
| 1306358445 | Eric David Wagner | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2017-10-30 |
| 1205346483 | Britley Ann White | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2017-10-02 |
| 1831608363 | Phillip Dustin Deberry | Nurse Anesthetist, Certified Registered | 405 W Jackson St, Carbondale, IL 62901-1462 | 2017-09-27 |
| Find all providers in CARBONDALE | ||||
| City | CARBONDALE |
| Zip Code | 62903 |
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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.