FREDRIC R MILLER (NPI# 1962505909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962505909 |
| Entity Type | Individual |
| Full Name | FREDRIC R MILLER |
| Credential | MD |
| Practice Address |
20 W Lincoln Ave Suite 201 Valley Stream NY 11580 |
| Practice Telephone | 5168727900 |
| Practice Fax Number | 5168720305 |
| Mailing Telephone | 5168727900 |
| Mailing Fax Number | 5168720305 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2018-09-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 165451 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
165451 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01358052 | 05 |
| Street Address |
20 W LINCOLN AVE SUITE 201 |
| City | VALLEY STREAM |
| State | NY |
| Zip Code | 11580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174513998 | Benjamin Leeman | Internal Medicine | 20 W Lincoln Ave, Valley Stream, NY 11580-5730 | 2005-10-24 |
| 1841421542 | West Lincoln Endoscopy Pllc | Internal Medicine | 20 W Lincoln Ave, Suite 201, Valley Stream, NY 11580-5730 | 2009-07-30 |
| 1487833554 | Advanced Women's Obgyn Health Care of L.i. P.C. | Obstetrics & Gynecology | 20 W Lincoln Ave, Suite 101, Valley Stream, NY 11580-5730 | 2007-10-25 |
| 1558406215 | Maria E Levada | Obstetrics & Gynecology | 20 W Lincoln Ave, Suite 101, Valley Stream, NY 11580-5730 | 2007-02-21 |
| 1568442036 | Benjamin J Leeman, Md,pc | Internal Medicine | 20 W Lincoln Ave, Valley Stream, NY 11580-5730 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1427523869 | Jessica Doyle | Social Worker | 5-11 Pflug Pl, Valley Stream, NY 11580 | 2018-10-12 |
| 1013491026 | Syeda Afshan Firdous | Licensed Practical Nurse | 13 Cleaveland St, Valley Stream, NY 11580 | 2018-09-17 |
| 1700377934 | Jisha Merin Mathew | Nurse Practitioner | 1835 Oliver Ave, Apt 4, Valley Stream, NY 11580 | 2018-05-23 |
| 1669970273 | Terrice Bell | Social Worker | 50 W Hawthorne Avenue, Valley Streams, NY 11580 | 2018-01-29 |
| 1659883718 | Rita M. Fowler | Registered Nurse | 33 West Hawthorne Ave. Suite 31, New York Health Care, Valley Stream, NY 11580 | 2017-10-30 |
| 1881104768 | Sharon Stephenson | Peer Specialist | 51 Foster Avenue, North Valley Stream, Valley Stream, NY 11580 | 2017-10-05 |
| 1356850200 | Barry Henderson | Case Manager/Care Coordinator | 23 Marlow Road, Valley Stream, NY 11580 | 2017-09-22 |
| 1922526565 | Aneta Kaczmarski | Physical Therapy Assistant | 299 North Corona Ave, Valley Stream, NY 11580 | 2017-09-05 |
| Find all providers in zip 11580 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225420458 | North Central Group LLC | Internal Medicine | 200 N Central Ave, Valley Stream, NY 11580-3102 | 2015-02-25 |
| 1134553795 | Grsp Management | Internal Medicine | 774 Dumont Pl, Valley Stream, NY 11581-3122 | 2013-08-30 |
| 1467895607 | Brandon Rieders | Internal Medicine | 210 E Sunrise Hwy Ste 304, Valley Stream, NY 11581-1328 | 2013-04-08 |
| 1255436499 | Barry S Dorf | Internal Medicine | 20 West Lincoln Avenue, Suite 201, Valley Stream, NY 11580 | 2006-09-13 |
| 1356378442 | Jeremy J Schwartz | Internal Medicine | 260 W. Sunrise Hwy, Ste. 200, Valley Stream, NY 11581-1015 | 2006-06-26 |
| 1437432192 | Naeem Abbas | Internal Medicine | 260 W. Sunrise Hwy, Ste. 200, Valley Stream, NY 11581-1051 | 2011-09-20 |
| 1841421542 | West Lincoln Endoscopy Pllc | Internal Medicine | 20 W Lincoln Ave, Suite 201, Valley Stream, NY 11580-5730 | 2009-07-30 |
| 1548350739 | Gastrocare, Li PC | Internal Medicine | 210 E Sunrise Hwy, Suite 304, Valley Stream, NY 11581-1329 | 2006-10-16 |
| 1235158585 | Gautam M. Reddy | Internal Medicine | 210 E Sunrise Hwy, Ste. 304, Valley Stream, NY 11581-1329 | 2006-07-18 |
| 1043239387 | Bradley S Rieders | Internal Medicine | 210 E Sunrise Hwy, Ste 304, Valley Stream, NY 11581-1329 | 2006-07-18 |
| Find all providers in VALLEY STREAM | ||||
| City | VALLEY STREAM |
| Zip Code | 11580 |
Please comment or provide details below to improve the information on FREDRIC R MILLER.
| 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.