JUSTINE MARIE MILLER (NPI# 1780913749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780913749 |
| Entity Type | Individual |
| Full Name | JUSTINE MARIE MILLER |
| Other Name | JUSTINE MARIE CANIGLIA-MILLER |
| Credential | PA |
| Practice Address |
988102 Nebraska Medical Center Omaha NE 68198-8102 |
| Practice Telephone | 4025594424 |
| Practice Fax Number | 4025597929 |
| Mailing Telephone | 4025594424 |
| Mailing Fax Number | 4025597929 |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2016-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10026059800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295260685 | Justine Anna Miller | Marriage & Family Therapist | 223 1st St E, Jordan, MN 55352-1561 | 2017-04-24 |
| 1013388131 | Justine Brook Miller | Dietitian, Registered | 710 S 13th St, Goshen, IN 46526-4134 | 2015-10-15 |
| Street Address |
988102 NEBRASKA MEDICAL CENTER |
| City | OMAHA |
| State | NE |
| Zip Code | 68198-8102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033158084 | Kelly John Caverzagie | Internal Medicine | 988102 Nebraska Medical Center, Omaha, NE 68198-8102 | 2006-06-05 |
| 1427248848 | Timothy Roy Ryan | Nurse Practitioner | 988102 Nebraska Medical Center, Omaha, NE 68198-8102 | 2007-08-01 |
| 1134346745 | John Y Um | Surgery | 988102 Nebraska Medical Center, Omaha, NE 68198-8102 | 2007-04-18 |
| 1366509804 | Ibrahim Abdullah | Surgery | 988102 Nebraska Medical Center, Omaha, NE 68198-8102 | 2007-01-03 |
| 1497840763 | Walter D Bussey IIi | Physician Assistant | 988102 Nebraska Medical Center, Omaha, NE 68198-8102 | 2006-10-04 |
| 1982707204 | David Edward Gannon | Internal Medicine | 988102 Nebraska Medical Center, Omaha, NE 68198-8102 | 2006-09-06 |
| 1710999024 | Michael J Moulton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 988102 Nebraska Medical Center, Omaha, NE 68198-8102 | 2006-08-13 |
| 1609816016 | Michelle Frances Johnson | Internal Medicine | 988102 Nebraska Medical Center, Omaha, NE 68198-8102 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881259646 | Grant Saltzgaber | Family Medicine | Unmc Dept. of Family Medicine, 983075 Nebraska Medical Center, Omaha, NE 68198 | 2019-05-07 |
| 1215590468 | Elizabeth Farrell | Counselor | 42nd @ Dewey, Omaha, NE 68198 | 2019-04-15 |
| 1073033981 | Daniel Ryan Mcdonald | Anesthesiology | 984150 Nebraska Medical Center, Omaha, NE 68198 | 2017-06-21 |
| 1194258764 | Bryan Baker | Student in an Organized Health Care Education/Training Program | 986155 Nebraska Medical Ctr, Omaha, NE 68198 | 2017-04-10 |
| 1063862779 | Evin Lackore | Pediatrics | Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198 | 2016-06-14 |
| 1710361233 | Rahul Dhawan | Student in an Organized Health Care Education/Training Program | 982265 Nebraska Medical Center, Omaha, NE 68198 | 2015-07-14 |
| 1295129757 | Brandon Mark Bennett | Student in an Organized Health Care Education/Training Program | 985640 Nebraska Medical Ctr, Omaha, NE 68198 | 2015-03-23 |
| 1083029151 | Ashley Nelson | Pediatrics | 982185 Nebraska Medical Center, Omaha, NE 68198 | 2014-06-26 |
| 1013205590 | Urmila Mukherjee | Internal Medicine | 989500 Nebraska Medical Ctr, Omaha, NE 68198 | 2011-07-18 |
| 1184943037 | Melissa Teply | Internal Medicine | 989500 Nebraska Medical Center, Omaha, NE 68198 | 2010-05-18 |
| Find all providers in zip 68198 | ||||
| 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 |
|---|---|---|---|---|
| 1609475375 | Patrick Donald Heavey | Physician Assistant | 4660 Pine St, Omaha, NE 68106-2520 | 2020-10-22 |
| 1780297440 | Tayler Marie Llewellyn | Physician Assistant | 17241 Oak Dr, Omaha, NE 68130-2428 | 2020-08-24 |
| 1154933992 | Alexandria Rae Mctaggart | Physician Assistant | 5024 S 130th St, Omaha, NE 68137-1820 | 2020-08-22 |
| 1124651443 | Kathryn A Kesti | Physician Assistant | 4242 Farnam St Ste 500, Omaha, NE 68131-2850 | 2020-02-14 |
| 1760014757 | Timothy Shew | Physician Assistant | 7500 Mercy Rd Ste 1300, Omaha, NE 68124-2319 | 2020-02-07 |
| 1083264303 | Alicia K Clough | Physician Assistant | 15236 Westchester Dr, Omaha, NE 68154-2060 | 2019-09-18 |
| 1669935565 | Taylor Elizabeth Hepp | Physician Assistant | 8005 Farnam Dr Ste 204, Omaha, NE 68114-3426 | 2019-04-09 |
| 1851895924 | Mohammed Saeb Shakir | Physician Assistant | 7306 Ontario St, Omaha, NE 68124-3561 | 2018-03-22 |
| 1386162790 | Anna Jean Sorrell | Physician Assistant | Emile St & S 42nd St, Omaha, NE 68198-4742 | 2017-09-06 |
| 1659804292 | Kaitlyn Ann Boosalis | Physician Assistant | 4331 Mayberry St, Omaha, NE 68105-1711 | 2017-04-11 |
| Find all providers in OMAHA | ||||
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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.