JUD E MILLER (NPI# 1831175231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831175231 |
| Entity Type | Individual |
| Full Name | JUD E MILLER |
| Credential | MD |
| Practice Address |
Shc 100 Brigham Young University Idaho Rexburg ID 83460-2010 |
| Mailing Address |
Shc 100 Brigham Young University Idaho Rexburg ID 83460-0001 |
| Practice Telephone | 2084961300 |
| Practice Fax Number | 2084961306 |
| Mailing Telephone | 2084961300 |
| Mailing Fax Number | 2084961306 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M4189 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 0012050 | 05 |
| Street Address |
SHC 100 BRIGHAM YOUNG UNIVERSITY IDAHO |
| City | REXBURG |
| State | ID |
| Zip Code | 83460-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760467625 | Lori Ann Parker | Nurse Practitioner | Shc 100, Byu Idaho, Rexburg, ID 83460-2010 | 2005-12-13 |
| 1043297138 | Nancy Nadine Olsen | Nurse Practitioner | Shc 100, Rexburg, ID 83460-2010 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407405111 | Analee Fish | Nurse Practitioner | Byui Student Health Center, Rexburg, ID 83460-0001 | 2019-09-05 |
| 1760923635 | Shawn Andreasen | Pharmacist | Byu Idaho Student Health Center 179 Ctr, Rexburg, ID 83460-0001 | 2017-03-13 |
| 1992726962 | Byu Id Student Hlth Cntr PChy | Pharmacy | 179 Student Hlth Ctr, Rexburg, ID 83460-0001 | 2006-07-22 |
| 1528097102 | Terry J. Anderson | Physician Assistant | 100 Shc Drive Byui, Rexburg, ID 83460-2010 | 2006-07-03 |
| 1558348649 | Hans Thurgood Redd | Internal Medicine | 100 Shc, Rexburg, ID 83460-2010 | 2005-12-29 |
| 1528044955 | David G Holland | Nurse Practitioner | Sch 100, Rexburg, ID 83460-2010 | 2005-12-19 |
| 1588654628 | Glade Southam | Nurse Practitioner | Byu - Idaho, 100 Shc, Rexburg, ID 83460-2010 | 2005-10-27 |
| 1538347034 | Byu Idaho Student Health Center | Clinic/Center | 100 Shc, Rexburg, ID 83460-2010 | 2008-02-06 |
| 1700220209 | Colton D. Miller | Psychologist | 231 Student Health & Counseling Bldg, Rexburg, ID 83460-2020 | 2013-04-26 |
| 1811064801 | J Reed Stoddard | Social Worker | 200 Shc, Rexburg, ID 83460-2020 | 2006-11-29 |
| Find all providers in zip 83460 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790244424 | Destin Thayne Bep Inc | Family Medicine | 859 S Yellowstone Hwy Ste 304, Rexburg, ID 83440-5294 | 2019-03-12 |
| 1649478645 | Rex E. Head | Family Medicine | 1980 Cody Ln, Rexburg, ID 83440-4360 | 2007-07-11 |
| 1285785782 | Gary R Sena | Family Medicine | 420 E 4th N, Rexburg, ID 83440-5390 | 2007-01-13 |
| 1770684003 | Jacob Kimball Curtis | Family Medicine | 72 S 1st E, Rexburg, ID 83440-1902 | 2006-09-26 |
| 1780797712 | Jeffrey Gardner Hopkin | Family Medicine | 32 W 1st S, Rexburg, ID 83440-1810 | 2006-08-16 |
| 1114957362 | Kelly L Dustin | Family Medicine | 21 Winn Dr, Rexburg, ID 83440-5277 | 2006-07-04 |
| 1750329629 | Scott Russell Hardy | Family Medicine | 37 S 2nd E, Rexburg, ID 83440-1906 | 2006-06-03 |
| 1336140664 | Joseph Watson | Family Medicine | 393 E 2nd N, Rexburg, ID 83440-1605 | 2005-08-09 |
| 1659914802 | Mountain View Hospital LLC | Family Medicine | 72 E Main St, Rexburg, ID 83440-1926 | 2019-10-21 |
| 1346709821 | Eric Lee Brown | Family Medicine | 859 S Yellowstone Hwy Ste 304, Rexburg, ID 83440-5294 | 2019-03-14 |
| Find all providers in REXBURG | ||||
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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.