SHELLY A MILLER (NPI# 1982993358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982993358 |
| Entity Type | Individual |
| Full Name | SHELLY A MILLER |
| Credential | MD |
| Practice Address |
3501 Johnson St Hollywood FL 33021-5421 |
| Mailing Address |
1611 Nw 12th Ave Miami FL 33136-1005 |
| Practice Telephone | 3052433902 |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2017-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
ME121264 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780009761 | Shelly Miller | Social Worker | 5875 State Route 193, Kingsville, OH 44048-9794 | 2014-02-27 |
| 1861826836 | Shelly K Miller | Registered Nurse | 2701 East 31st St, Kansas City, MO 64128 | 2013-08-27 |
| 1033305651 | Shelly Miller | Case Manager/Care Coordinator | 42 County Center Dr, Oroville, CA 95965-3335 | 2007-09-18 |
| 1619576089 | Shelly J Miller | Pharmacist | 1205 N Glenwood Ave, Dalton, GA 30721-2603 | 2020-10-18 |
| 1841763075 | Shelly Weber Miller | Registered Nurse | 2632 E St Ste H, Washougal, WA 98671-1714 | 2019-01-10 |
| 1225481476 | Shelly Rose Miller | Nurse Practitioner | 1740 Nicholasville Rd, Lexington, KY 40503-1431 | 2016-07-22 |
| 1659763753 | Shelly Miller | Nurse Practitioner | 59 Bangor St, Houlton, ME 04730-1740 | 2015-02-26 |
| 1942615745 | Shelly D Miller | Registered Nurse | 3322 Broadway, 2 South, Everett, WA 98201-4425 | 2014-07-01 |
| 1700196722 | Shelly Ann Miller | Occupational Therapy Assistant | 127 E State St, Gloversville, NY 12078-1204 | 2010-10-08 |
| 1235387325 | Shelly Ann Miller | Internal Medicine | 25 June Street, Suite 111, Sanford, ME 04073 | 2008-09-03 |
| Street Address |
3501 JOHNSON ST |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-5421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021274 | Trevor Swerdlow | Radiology | 3501 Johnson St, Hollywood, FL 33021-5421 | 2005-05-23 |
| 1619575784 | Shaquira Wells | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-10-12 |
| 1013521897 | Coeurlande Carry | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-08-31 |
| 1386255420 | Bernandes Jean-louis | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-08-12 |
| 1770194136 | Rock J Saint Louis | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-08-11 |
| 1851916282 | Porsha St Pierre | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-06-11 |
| 1770105918 | Robert Woods | Pharmacist | 3501 Johnson St, Inpatient Pharmacy, Hollywood, FL 33021-5421 | 2020-05-11 |
| 1114548013 | Kelsey Taylor | Registered Nurse | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-05-01 |
| 1588285464 | Aaron Alexander North | Pharmacist | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-05-01 |
| 1932728714 | Patricia L. Altamirano | Nurse Practitioner | 3501 Johnson St, Hollywood, FL 33021-5421 | 2020-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1114180593 | Jeffrey A Levy Md Inc | Internal Medicine | 1600 Diplomat Parkway, Hollywood, FL 33019 | 2008-07-07 |
| 1952358285 | Aron Neuhaus | Internal Medicine | 3501 Johnson St Fl 3, Hollywood, FL 33021 | 2006-05-30 |
| 1174934228 | Armand Golchin | Internal Medicine | 3501 Johnson St Fl 3, Hollywood, FL 33021-5421 | 2014-05-12 |
| 1164762779 | Sheyla Paredes Aller | Internal Medicine | 3501 Johnson St Fl 3, Hollywood, FL 33021 | 2013-02-19 |
| 1811266018 | Renzo Haroldo Hidalgo-cabrera | Internal Medicine | 3501 Johnson St, 3rd Floor Icu, Hollywood, FL 33021-5421 | 2011-12-19 |
| 1174810386 | Moses Anthony Washington | Internal Medicine | 3501 Johnson St, Hollywood, FL 33021-5421 | 2011-07-08 |
| 1396987681 | Samir Ahmad Peshimam | Internal Medicine | 3501 Johnson St Fl 3, Hollywood, FL 33021-5421 | 2009-04-01 |
| 1871778118 | Luis Manuel Alvarez | Internal Medicine | 1131 N 35th Ave Ste 330, Hollywood, FL 33021 | 2008-01-06 |
| 1922281252 | Lukas A. Pastewski | Internal Medicine | 3501 Johnson St Fl 3, Hollywood, FL 33021-5421 | 2007-12-10 |
| 1811108921 | Stefanie Julissa Torres Ramirez | Internal Medicine | 3501 Johnson Street, 3rd Floor, Hollywood, FL 33021 | 2007-05-24 |
| Find all providers in HOLLYWOOD | ||||
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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.