GARY ALAN MILLER (NPI# 1851319438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851319438 |
| Entity Type | Individual |
| Full Name | GARY ALAN MILLER |
| Credential | PA-C |
| Practice Address |
1361 Wenner Rd Detroit Lakes MN 56501-7918 |
| Mailing Address |
1702 University Dr S Fargo ND 58103-4940 |
| Practice Telephone | 2188469981 |
| Practice Fax Number | 2188469983 |
| Mailing Telephone | 7013644222 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PAC0115 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 9365 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134549371 | Gary Miller | Physical Therapist | 4238 Fox Ridge Dr, Weston, FL 33331-4003 | 2014-04-25 |
| 1760803795 | Gary Miller | Otolaryngology | 3467 Northwood Rd, Suamico, WI 54313-8250 | 2013-12-17 |
| 1639422371 | Gary Curtis Miller | Licensed Practical Nurse | 102 S West St, Suite # 7, Carlisle, PA 17013-2857 | 2012-10-18 |
| 1649541392 | Gary L Miller | Specialist | 6 Forest Dr, Logansport, IN 46947-1650 | 2012-01-25 |
| 1720315922 | Gary D Miller | Dentist | 12520 Magnolia Blvd., Suite #205, North Hollywood, CA 91607 | 2009-11-09 |
| 1053521591 | Gary Thomas Miller | Chiropractor | 2627 E Franklin Ave, Suite 201, Minneapolis, MN 55406-1103 | 2007-05-23 |
| 1952529612 | Gary Paul Miller | Dentist | 7130 Preston Rd, Ste 100, Plano, TX 75024-3265 | 2007-04-20 |
| 1871634071 | Gary Frederick Miller | Social Worker | 624 S 13th Street, P O 1188, Virginia, MN 55792 | 2007-02-09 |
| 1932252566 | Gary Stephen Miller | Chiropractor | 7 E Woodland Ave, Springfield, PA 19064-2310 | 2007-01-18 |
| 1770634016 | Gary Miller | Chiropractor | 2333 Camino Del Rio S Ste 230, San Diego, CA 92108-3600 | 2007-01-15 |
| Street Address |
1361 WENNER RD |
| City | DETROIT LAKES |
| State | MN |
| Zip Code | 56501-7918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164978599 | Innovis Health LLC | Family Medicine | 1361 Wenner Rd, Detroit Lakes, MN 56501-7918 | 2016-08-26 |
| 1023304045 | Hans Bjellum, Md, PC | Non-Pharmacy Dispensing Site | 1361 Wenner Rd, Detroit Lakes, MN 56501-7918 | 2011-06-28 |
| 1255587929 | Hans Bjellum, Md, PC | Clinic/Center | 1361 Wenner Rd, Detroit Lakes, MN 56501-7918 | 2008-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1679068407 | Strive Chiropractic Detroit Lakes LLC | Chiropractor | 1852 Nodaway Drive, Detroit Lakes, MN 56501 | 2018-06-25 |
| 1194215830 | Jordan James Reese | Registered Nurse | 1295 Bay Ridge Dr, Detroit Lakes, MN 56501 | 2018-05-17 |
| 1992179386 | Compassion House | Substance Abuse Rehabilitation Facility | 811 8th St. Se, Detroit Lakes, MN 56501 | 2015-11-23 |
| 1720344286 | Lakes Crisis & Resource Center | Clinic/Center | 1339 Pelican Lane, Detroit Lakes, MN 56501 | 2012-04-09 |
| 1063657120 | Diane Jean Mccormack | Occupational Therapist | 15840 Long Lake Road, Detroit Lakes, MN 56501 | 2008-12-03 |
| 1588817928 | Darcy Caleb Olson | Counselor | 925 Lake Ave, Detroit Lakes, MN 56501 | 2008-10-29 |
| 1760651079 | Rapidcare Urgent Care Pllc | Family Medicine | 1361 Wenner Road, Detroit Lakes, MN 56501 | 2008-02-21 |
| 1427274729 | Jeffrey C Gregory | Psychologist | 910 Lincoln Ave, Detroit Lakes, MN 56501 | 2007-04-17 |
| 1144364894 | Midwest Vision Centers Inc | Eyewear Supplier (Equipment, not the service) | 830 Washington Avenue, Detroit Lakes, MN 56501 | 2007-02-16 |
| Find all providers in zip 56501 | ||||
| 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 |
|---|---|---|---|---|
| 1003339573 | Sharon Lynn Bolar | Physician Assistant | 14490 E Fox Lake Rd, Detroit Lakes, MN 56501-7111 | 2017-07-17 |
| 1366802290 | Jeremiah Dagel | Physician Assistant | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2016-03-04 |
| 1073981908 | Christopher Peluso | Physician Assistant | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2015-09-09 |
| 1770913071 | Erin Marie Chen | Physician Assistant | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2013-11-22 |
| 1700125796 | Garrett R Penton | Physician Assistant | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2013-02-11 |
| 1356508139 | Vonda Eidenschink | Physician Assistant | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2008-05-20 |
| 1942495627 | Chentel Spring Dangerud | Physician Assistant | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2007-09-06 |
| 1740207380 | Michael Joseph Mcgregor | Physician Assistant | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2006-07-17 |
| 1225064868 | Kurtis K Motschenbacher | Physician Assistant | 1027 Washington Ave, Detroit Lakes, MN 56501-3409 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265284 | Foua Vang | Physician Assistant | 689 County Road D E Apt 302, Saint Paul, MN 55117-1263 | 2020-11-08 |
| 1043811870 | Leiah Hoffman | Physician Assistant | 4243 Timberridge Ln Apt A, Hermantown, MN 55811-4047 | 2020-11-06 |
| 1760083059 | Amanda Hanover | Physician Assistant | 10346 Mississippi Blvd Nw, Coon Rapids, MN 55433-4521 | 2020-11-04 |
| 1780284844 | Lily Ganz | Physician Assistant | 2737 Huntington Ave, St Louis Park, MN 55416-3917 | 2020-10-28 |
| 1972103000 | Jaclyn Ann Bautch | Physician Assistant | 24721 State Highway 15, Saint Augusta, MN 56301-9211 | 2020-10-28 |
| 1801496047 | Tanner Vaughn Kramp | Physician Assistant | 3450 Wild Turkey Rd, Red Wing, MN 55066-1762 | 2020-10-27 |
| 1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
| 1598364473 | Kylee N Persing | Physician Assistant | 10 4th Ave S, Saint Cloud, MN 56301-3614 | 2020-10-21 |
| 1073112009 | Reece Edward Mcevoy | Physician Assistant | 2638 Sand Trap Rd Se, Rochester, MN 55904-3904 | 2020-10-21 |
| 1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
| City | DETROIT LAKES |
| Zip Code | 56501 |
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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.