DR. JOHN MARK MILLER (NPI# 1740637446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740637446 |
| Entity Type | Individual |
| Full Name | DR. JOHN MARK MILLER |
| Credential | D.O |
| Practice Address |
3535 Southern Blvd Kettering OH 45429 |
| Mailing Address |
3131 Newmark Dr Ste 220 Miamisburg OH 45342-5400 |
| Practice Telephone | 9373958166 |
| Practice Fax Number | 9373958347 |
| Mailing Telephone | 9374364658 |
| Mailing Fax Number | 9374364984 |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2020-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 34.013250 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 34.013250 | OH | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OHIO STATE MEDICAL BOARD | 34.013250 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Kettering Way, Franklin, OH 450051155 | 9374584700 | 9374584737 |
| 1141 N Monroe Dr, Xenia, OH 453851619 | 9373522500 | 9373523501 |
| 1997 Miamisburg Centerville Rd, Centerville, OH 454593811 | 9374016228 | 9374016447 |
| 2213 Cherry St, Toledo, OH 43608 | 4192513232 | |
| 3535 Pentagon Blvd, Beavercreek, OH 454311705 | 9377024500 | 9377024509 |
| 3535 Southern Blvd, Kettering, OH 454291221 | 9373958166 | 9373958347 |
| 4000 Miamisburg Centerville Rd, Miamisburg, OH 453427615 | 9373848791 | 9373848729 |
| 405 W Grand Ave, Dayton, OH 454057538 | 9377233211 | 9377234609 |
| 450 Washington Jackson Rd Ste F, Eaton, OH 453208699 | 9374568376 | 9374568377 |
| 600 W Main St, Troy, OH 453732928 | 9379807010 | 9379807019 |
| 6147 State Route 122, Middletown, OH 450055201 | 5132613410 | 5132613419 |
| 8701 Old Troy Pike, Huber Heights, OH 454241066 | 9375583338 | 9375583349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235621715 | John Christopher Miller | Driver | 7530 Galveston Ave, Jacksonville, FL 32211-7825 | 2018-05-31 |
| 1194163501 | John Lee Miller IIi | Counselor | 46 Royal Dr, Piscataway, NJ 08854-3294 | 2013-06-07 |
| 1306185533 | John Alexander Miller | Registered Nurse | 4220 Robert Koch Hospital Rd, Saint Louis, MO 63129 | 2013-02-07 |
| 1306198205 | John Blake Miller | Emergency Medical Technician, Intermediate | 98-838 Noelani St, Apt. 101, Pearl City, HI 96782-3501 | 2012-10-03 |
| 1992088173 | John A Miller | Psychologist | 1081 Gloria Ave, Apt D, Lima, OH 45805-2996 | 2011-09-23 |
| 1265720346 | John F Miller | Dentist | 105 Nucleus Ave, Columbia Falls, MT 59912-4010 | 2011-07-11 |
| 1467751669 | John Clarke Miller | Pharmacist | 730 Seminole Rd, Norton Shores, MI 49441-4722 | 2011-03-28 |
| 1619126950 | John D. Miller | Dentist | 543 N State Road 135, Greenwood, IN 46142-1337 | 2008-09-11 |
| 1922274265 | John B. Miller | Pharmacist | 2341 Rockminster Rd, Lexington, KY 40509-1785 | 2008-05-06 |
| 1972789527 | John Kenneth Miller | Marriage & Family Therapist | 1414 Kincaid St, Suite 207, Eugene, OR 97401-3737 | 2008-01-14 |
| Street Address |
3535 SOUTHERN BLVD |
| City | KETTERING |
| State | OH |
| Zip Code | 45429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124183 | David M Brouhard | Anesthesiology | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2005-06-16 |
| 1245846757 | Rachel Henderson | Pharmacist | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-09-21 |
| 1235745043 | Nipa Mukesh Patel | Pharmacist | 3535 Southern Blvd, Kettering, OH 45429-1298 | 2020-09-17 |
| 1104437425 | Stephanie Elizabeth Nicholls | Hospitalist | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-08-11 |
| 1346865144 | Anesthesia Pearls, LLC | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-06-08 |
| 1568087351 | Pearl Lee | Nurse Anesthetist, Certified Registered | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-06-08 |
| 1922631761 | Michael Patrick Lorey | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2020-02-20 |
| 1801446315 | Madison A Tate | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-09-17 |
| 1962058966 | Joshua Caleb Courlas | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-08-15 |
| 1134775273 | Jason Raymond Leigh | Physician Assistant | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1760466726 | Ryan Garner Mihata | Emergency Medicine | 3525 Southern Blvd, Wsu Em - Cox Building, Kettering, OH 45429-1221 | 2005-12-02 |
| 1609871458 | Gary E Gries | Emergency Medicine | 4750 Hempstead Station Dr, Kettering, OH 45429-5164 | 2005-06-17 |
| 1679079909 | Cole Little | Emergency Medicine | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2018-04-04 |
| 1992230908 | Timothy Dekoninck | Emergency Medicine | 3525 Southern Blvd, 3525 Southern Blvd., Kettering, OH 45429-1221 | 2017-04-27 |
| 1790218535 | Daniel Shigley | Emergency Medicine | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2017-04-08 |
| 1780117630 | Gregory Mark Gottschlich | Emergency Medicine | 3525 Southern Blvd, Kettering, OH 45429-1221 | 2017-04-07 |
| 1841646064 | Jordan Jacobsen | Emergency Medicine | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2016-05-05 |
| 1902251796 | Nicholas Allen Elliott | Emergency Medicine | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2016-04-28 |
| 1548614167 | Dustin Cunningham | Emergency Medicine | 3535 Southern Blvd, Kettering, OH 45429-1221 | 2016-04-20 |
| Find all providers in KETTERING | ||||
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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.