MILLER J VAN VLIET (NPI# 1891790622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891790622 |
| Entity Type | Individual |
| Full Name | MILLER J VAN VLIET |
| Credential | DO |
| Practice Address |
240 Hospital Dr Ne Bolivia NC 28422-8346 |
| Mailing Address |
200 Providence Rd St. 101 Charlotte NC 28207-1468 |
| Practice Telephone | 7047495800 |
| Practice Fax Number | 7047495819 |
| Mailing Telephone | 7047495800 |
| Mailing Fax Number | 7047495819 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2012-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 200401590 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE PTAN | 2035752B | 01 |
| NC | 89138J9 | 05 | |
| NC | MEDICARE PTAN | 2035752D | 01 |
| Street Address |
240 HOSPITAL DR NE |
| City | BOLIVIA |
| State | NC |
| Zip Code | 28422-8346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679106413 | Ingrit Kolpeja | Nurse Practitioner | 240 Hospital Dr Ne, Bolivia, NC 28422-8346 | 2020-02-20 |
| 1689132516 | Brunswick Community Hospital, LLC | General Acute Care Hospital | 240 Hospital Dr Ne, Bolivia, NC 28422-8346 | 2019-03-11 |
| 1174087241 | Zachary Davis Maier | Physician Assistant | 240 Hospital Dr Ne, Bolivia, NC 28422-8346 | 2019-01-23 |
| 1245703065 | Leslie Ann Cobb | Nurse Practitioner | 240 Hospital Dr Ne, Bolivia, NC 28422-8346 | 2019-01-03 |
| 1457822264 | Brunswick Physician Partners, Pllc | Emergency Medicine | 240 Hospital Dr Ne, Bolivia, NC 28422-8346 | 2018-12-06 |
| 1548737745 | Novant Medical Group, Inc | Internal Medicine | 240 Hospital Dr Ne, Bolivia, NC 28422-8346 | 2018-10-26 |
| 1669905972 | Alan Bloszko | Internal Medicine | 240 Hospital Dr Ne, Bolivia, NC 28422-8346 | 2017-04-05 |
| 1720449010 | Judith Cameron Maguire | Physician Assistant | 240 Hospital Dr Ne, Bolivia, NC 28422-8346 | 2016-03-14 |
| 1902274277 | Daryl Holden Turlington | Physician Assistant | 240 Hospital Dr Ne, Bolivia, NC 28422-8346 | 2015-09-03 |
| 1811370695 | Lisa Macdonald | Pharmacist | 240 Hospital Dr Ne, Bolivia, NC 28422-8346 | 2015-06-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616596 | Riccobene and Associates Xli, Dds, P.a. | Dentist | 211 Midway Commons, Suite 116, Bolivia, NC 28422 | 2020-10-15 |
| 1962029942 | Novant Medical Group. Inc. | Family Medicine | 150 College Rd Ne, Bolivia, NC 28422 | 2020-06-25 |
| 1033730866 | Tamika Jocinda Yushaw | Social Worker | 25 Courthouse Drive Ne, Bolivia, NC 28422 | 2020-05-04 |
| 1821648882 | Daniel Burk | Physician Assistant | 584 Hospital Drive Suite A, Bolivia, NC 28422 | 2019-09-12 |
| 1427452283 | East Carolina University School of Dental Medicine-brunswick | Dentist | 100 Brunswick Medical Center Parkway, Bolivia, NC 28422 | 2014-10-22 |
| 1689080632 | Cecilia Liu | Dentist | 3071 Southport Supply Rd Se, Bolivia, NC 28422 | 2014-07-09 |
| 1922372341 | Lorie L Harding | Physician Assistant | 584 Hospital Dr Ne Unit C, Bolivia, NC 28422 | 2012-03-02 |
| 1902095383 | Cayce Mccall Patterson | Physical Therapist | 35 Referendum Dr, Brunswick County Schools, Bolivia, NC 28422 | 2007-10-22 |
| 1235288622 | Susan Beth Kam | Psychologist | 63 Stamp Act Drive, Bolivia, NC 28422 | 2007-01-09 |
| 1578632477 | Sarah E Oxford | Case Manager/Care Coordinator | 63 Stamp Act Dr, Building M, Bolivia, NC 28422 | 2006-11-06 |
| Find all providers in zip 28422 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427237668 | Novant Medical Group, Inc. | Anesthesiology | 240 Hospital Dr Ne, Bolivia, NC 28422-8346 | 2007-10-24 |
| 1679583835 | Christopher Adams Brann | Anesthesiology | 240 Hospital Dr Ne, Bolivia, NC 28422-8346 | 2006-08-09 |
| 1487643581 | Josef N. Mueksch | Anesthesiology | 240 Hospital Dr Ne, Bolivia, NC 28422-8346 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214365 | Advanced Facial Surgery and Anesthesia Pllc | Anesthesiology | 301 Indian Trail Rd S, Indian Trail, NC 28079-9101 | 2020-10-27 |
| 1629635685 | Lauren Robinson Byrd | Anesthesiology | 1200 North Church St, Greensboro, NC 27401 | 2019-05-24 |
| 1578021432 | Awakenings Infusion Center of North Carolina, Pllc | Anesthesiology | 500 Holly Springs Rd Ste 106, Holly Springs, NC 27540-6204 | 2019-03-08 |
| 1811461544 | Benjamin Philip Powell | Anesthesiology | 1220 Hendersonville Rd, Asheville, NC 28803-1903 | 2019-01-16 |
| 1548731292 | Vera Shanley | Anesthesiology | 308 Southwind Ln, Hillsborough, NC 27278-7908 | 2018-12-06 |
| 1073082822 | Endoscopy Anesthesia Services, Pa | Anesthesiology | 320 Lillington Ave Ste 101, Charlotte, NC 28204-3189 | 2018-11-21 |
| 1386148500 | Charles Worthington Macintyre | Anesthesiology | 72 Pelican Dr, Wrightsville Beach, NC 28480-2738 | 2018-03-21 |
| 1952805236 | Yuxiao Qian | Anesthesiology | N2128, Unc Hospitals, Chapel Hill, NC 27599-0001 | 2018-03-21 |
| 1083132609 | Xenon Anesthesia of North Carolina Pllc | Anesthesiology | 7006 Shannon Willow Road, Charlotte, NC 28226 | 2017-09-04 |
| 1417472994 | Blue Ridge Sedation Associates LLC | Anesthesiology | 2417 Atrium Dr Ste 101, Raleigh, NC 27607-6673 | 2017-08-07 |
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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.