JACOB MATTHEW MILLER (NPI# 1992110498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992110498 |
| Entity Type | Individual |
| Full Name | JACOB MATTHEW MILLER |
| Credential | CRNA |
| Practice Address |
1316 S Main St Clarion IA 50525-2019 |
| Practice Telephone | 5155322811 |
| Practice Fax Number | 5155329336 |
| Mailing Telephone | 5155322811 |
| Mailing Fax Number | 5155329336 |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2016-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | D142357 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 43-557316-021 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922426238 | Jacob Darris Miller | Case Manager/Care Coordinator | 1100 South 2nd Street, Mount Vernon, WA 98273 | 2014-04-03 |
| 1922100650 | Jacob Roy Miller | Optometrist | 5620 W Thunderbird Rd Ste H3, Glendale, AZ 85306-4653 | 2006-09-02 |
| 1376158592 | Jacob Miller | Physical Therapist | 3633 W Waters Ave Ste 700, Tampa, FL 33614-2783 | 2020-09-14 |
| 1629696133 | Jacob Samuel Miller | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-07-10 |
| 1912522012 | Jacob Miller | Physical Therapist | 6033 W Interstate 20, Arlington, TX 76017-1042 | 2020-06-15 |
| 1689295594 | Jacob D Miller | Student in an Organized Health Care Education/Training Program | 1001 S George St, York, PA 17403-3676 | 2020-05-01 |
| 1154881282 | Jacob Nathaniel Miller | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2019-03-24 |
| 1851869820 | Jacob Anthony Miller | Physical Medicine & Rehabilitation | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2018-11-08 |
| 1558845172 | Jacob Miller | Counselor | 1312 2nd St Ne, Minneapolis, MN 55413-1132 | 2018-09-19 |
| 1225511306 | Jacob Miller | Counselor | 720 14th Ave, Longview, WA 98632-2315 | 2018-09-13 |
| Street Address |
1316 S MAIN ST |
| City | CLARION |
| State | IA |
| Zip Code | 50525-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811995392 | Carlos Rodriguez | Obstetrics & Gynecology | 1316 S Main St, Clarion, IA 50525-2019 | 2005-07-08 |
| 1275150765 | Trisha Hoffmann | Pharmacist | 1316 S Main St, Clarion, IA 50525-2019 | 2020-06-30 |
| 1821615311 | Scott Timothy Schulte | Pharmacist | 1316 S Main St, Clarion, IA 50525-2019 | 2020-06-30 |
| 1528685013 | Lance John Fischer | Pharmacist | 1316 S Main St, Clarion, IA 50525-2019 | 2020-06-30 |
| 1609437565 | Carrie Jane Reese | Nurse Practitioner | 1316 S Main St, Clarion, IA 50525-2019 | 2019-06-21 |
| 1003307406 | Jessica Lynn Rooker | Nurse Practitioner | 1316 S Main St, Clarion, IA 50525-2019 | 2018-05-22 |
| 1124413307 | Benjamin Becker | Physician Assistant | 1316 S Main St, Clarion, IA 50525-2019 | 2015-04-03 |
| 1467890376 | Michael Joseph Mcloughlin | Internal Medicine | 1316 S Main St, Clarion, IA 50525-2019 | 2013-06-13 |
| 1689011520 | Andrea Marie Mcloughlin | Family Medicine | 1316 S Main St, Clarion, IA 50525-2019 | 2013-06-02 |
| 1235485384 | Brenda Lee Mauch | Registered Nurse | 1316 S Main St, Clarion, IA 50525-2019 | 2012-07-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609176668 | Regina J Reedy | Nurse Practitioner | 215 13th Ave. Sw, Clarion, IA 50525 | 2010-10-25 |
| 1760464200 | Jeffrey J Kalvig | Nurse Anesthetist, Certified Registered | 1316 S Main, Clarion, IA 50525 | 2005-11-18 |
| 1154305258 | Shelley Marie Wells | Anesthesiology | 1316 South Main Street, Clarion, IA 50525 | 2005-12-01 |
| 1285600312 | Developmental Resourcs, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 210 2nd St Nw, Clarion, IA 50525-1005 | 2006-02-28 |
| 1033257639 | John Edward Koenig | Contractor | 609 N Main St, Clarion, IA 50525-1137 | 2007-02-03 |
| 1003031345 | Kristi Diane Zwiefel | Dietitian, Registered | 720 3rd St Ne, Clarion, IA 50525-1144 | 2007-04-13 |
| 1679789267 | Rebecca Sue Ahrendsen | Registered Nurse | 728 Maple Ln, Clarion, IA 50525-1241 | 2007-05-14 |
| 1477685345 | Clarion-goldfield Community School District | Local Education Agency (LEA) | 1111 Willow Dr, Clarion, IA 50525-1246 | 2007-03-09 |
| 1982681508 | County of Wright | Home Health | 115 1st St Se, Clarion, IA 50525-1401 | 2005-12-23 |
| 1093108201 | Wright County | Preventive Medicine | 115 1st St Se, Clarion, IA 50525-1401 | 2015-03-12 |
| Find all providers in zip 50525 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811351315 | Tia Prebeck | Nurse Anesthetist, Certified Registered | 1316 S Main St., Clarion, IA 50525-2019 | 2016-04-11 |
| 1881919454 | Cassie J Johanns | Nurse Anesthetist, Certified Registered | 1316 S. Main St., Clarion, IA 50525-2019 | 2010-04-07 |
| 1346201555 | Tamara A. Brownell | Nurse Anesthetist, Certified Registered | 2000 Sandy Beach Rd, Clarion, IA 50525-7724 | 2006-03-29 |
| 1760464200 | Jeffrey J Kalvig | Nurse Anesthetist, Certified Registered | 1316 S Main, Clarion, IA 50525 | 2005-11-18 |
| 1013375914 | Seth Martin | Nurse Anesthetist, Certified Registered | 1 Hospital Dr, Clarion, PA 16214-8501 | 2016-02-05 |
| 1619117330 | David M Kellerman | Nurse Anesthetist, Certified Registered | 1316 S Main St, Clarion, IA 50525-2019 | 2009-02-21 |
| 1881707834 | Corey Farnum | Nurse Anesthetist, Certified Registered | 1316 S Main St, Clarion, IA 50525-2019 | 2006-08-16 |
| 1134196108 | Charles Joseph Bartley | Nurse Anesthetist, Certified Registered | 1 Hospital Dr, Clarion, PA 16214-8501 | 2006-03-08 |
| 1841267820 | Wendy B Stivanson | Nurse Anesthetist, Certified Registered | 1 Hospital Dr, Clarion, PA 16214-8501 | 2006-03-08 |
| 1427025402 | Thomas J Morgo | Nurse Anesthetist, Certified Registered | 1 Hospital Dr, Clarion, PA 16214-8501 | 2006-03-08 |
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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.