CORY MILLER (NPI# 1750732889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750732889 |
| Entity Type | Individual |
| Full Name | CORY MILLER |
| Credential | PA |
| Practice Address |
149 North St Waterville ME 04901-4974 |
| Practice Telephone | 2078615000 |
| Practice Fax Number | 2078615001 |
| Mailing Telephone | 2078615000 |
| Mailing Fax Number | 2078615001 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2019-12-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA1622 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000455 | Cory Miller | Behavior Technician | 3771 Stefani Rd, Cantonment, FL 32533-7795 | 2020-10-15 |
| 1396222675 | Cory Patrick Miller | Pediatrics | 1 Childrens Pl Ste 3s34, Saint Louis, MO 63110-1002 | 2018-07-19 |
| 1114451259 | Cory Jay Miller | Student in an Organized Health Care Education/Training Program | 1836 South Ave, La Crosse, WI 54601-5429 | 2017-04-15 |
| 1841609047 | Cory Miller | Assistant Behavior Analyst | 145 E Edgewood Dr, Lakeland, FL 33803-4014 | 2014-08-13 |
| 1578875647 | Cory Scott Miller | Obstetrics & Gynecology | 20 Progress Point Pkwy, Ste 206, O Fallon, MO 63368-2206 | 2010-07-06 |
| 1598783631 | Cory R Miller | Internal Medicine | 1213 15th Ave W, Williston, ND 58801-3800 | 2006-07-17 |
| 1346298510 | Cory Nathanael Miller | Physician Assistant | 1055 N 500 W, Suite 212, Provo, UT 84604-3305 | 2006-05-04 |
| Street Address |
149 NORTH ST |
| City | WATERVILLE |
| State | ME |
| Zip Code | 04901-4974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083691869 | Robin M Wood | Nuclear Medicine | 149 North St, Waterville, ME 04901-4974 | 2005-12-22 |
| 1588289961 | Kellee Gorgone | Nurse Practitioner | 149 North St, Waterville, ME 04901-4974 | 2020-06-11 |
| 1962027656 | Thomas Pentzer | Student in an Organized Health Care Education/Training Program | 149 North St, Waterville, ME 04901-4974 | 2020-06-09 |
| 1437774122 | Anita Nwanna-nzewunwa | Student in an Organized Health Care Education/Training Program | 149 North St, Waterville, ME 04901-4974 | 2020-06-09 |
| 1487279162 | Jesse Leeds | Student in an Organized Health Care Education/Training Program | 149 North St, Waterville, ME 04901-4974 | 2020-06-09 |
| 1093366239 | Danielle Rice | Nurse Practitioner | 149 North St, Waterville, ME 04901-4974 | 2019-09-27 |
| 1528627080 | Lisa Smith | Student in an Organized Health Care Education/Training Program | 149 North St, Waterville, ME 04901-4974 | 2019-06-10 |
| 1215596762 | Rose Knudsen | Student in an Organized Health Care Education/Training Program | 149 North St, Waterville, ME 04901-4974 | 2019-06-09 |
| 1053970509 | Lara Householder | Student in an Organized Health Care Education/Training Program | 149 North St, Waterville, ME 04901-4974 | 2019-06-09 |
| 1033694807 | Elizabeth Harwood | Nurse Practitioner | 149 North St, Waterville, ME 04901-4974 | 2018-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325649 | Orthopedic Physical Therapy | Physical Therapist | Orthopedic Physical Therapy, 234 College Ave, Waterville, ME 04901 | 2020-08-07 |
| 1790328771 | Elizabeth Saucier | Counselor | Discovery House 40 Airport Rd, Waterville, ME 04901 | 2019-10-23 |
| 1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
| 1457905911 | Waterville Audiology PC | Audiologist-Hearing Aid Fitter | 124 Silver Street, Waterville, ME 04901 | 2019-08-01 |
| 1629537048 | Samantha Sobel | Behavioral Analyst | 2 Seton Center Dr, Waterville, ME 04901 | 2019-03-15 |
| 1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
| 1699243733 | Thomas James Demers | Counselor | Discovery House, 40 Airport Road, Waterville, ME 04901 | 2018-11-07 |
| 1851892442 | Alishia M Austin | Counselor | Discovery House Ctc Waterville 40 Airport Rd, Waterville, ME 04901 | 2018-02-28 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1134660020 | Waterville Medical Supplies | Durable Medical Equipment & Medical Supplies | 325 Waterville Commons Drive, Waterville, ME 04901 | 2017-03-13 |
| Find all providers in zip 04901 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770130858 | Jacob Michael Dakota Redfox | Physician Assistant | 7610 Tournament Dr, Waterville, OH 43566-8702 | 2019-08-22 |
| 1497105605 | Robert Jacob | Physician Assistant | 180 Kennedy Memorial Dr Ste 201, Waterville, ME 04901-4541 | 2016-06-18 |
| 1760467179 | Kerri L Mcglew | Physician Assistant | 10 Washington St, Waterville, ME 04901 | 2005-12-08 |
| 1982169702 | Hanna Campbell | Physician Assistant | 16 Concourse W, Waterville, ME 04901-6007 | 2019-02-06 |
| 1144711656 | Rebecca Ann Sharpe | Physician Assistant | 200 Kennedy Memorial Dr, Waterville, ME 04901 | 2018-05-21 |
| 1093239634 | Sasha Thivierge-bonney | Physician Assistant | 211 Main St, Waterville, ME 04901-6117 | 2017-07-26 |
| 1245782135 | Megan Crane Wei | Physician Assistant | 149 North St, Waterville, ME 04901-4974 | 2016-10-26 |
| 1588117881 | Kelsey Stierwalt | Physician Assistant | 149 North St, Waterville, ME 04901-4974 | 2016-08-03 |
| 1508114430 | Marie Crocker Mason | Physician Assistant | 180 Kennedy Memorial Dr, Suite 301, Waterville, ME 04901-4540 | 2012-08-27 |
| 1689972440 | Sondra E Nantes | Physician Assistant | 200 Kennedy Memorial Dr, Waterville, ME 04901-4526 | 2011-03-03 |
| Find all providers in WATERVILLE | ||||
| City | WATERVILLE |
| Zip Code | 04901 |
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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.