Ronald C Miller (NPI# 1841222775, PAC ID# 0042262768) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1841222775 |
| PAC ID by PECOS | 0042262768 |
| Professional Enrollment ID | I20110103000220 |
| Full Name | Ronald C Miller |
| Organization Legal Name | ADVANCED DERMATOLOGY OF MICHIGAN PC |
| Address |
416 S Creyts Rd Lansing MI 48917-8290 |
| Phone Number | 5177217701 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0941511224 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230230 | EDWARD W SPARROW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 416 S Creyts Rd, Lansing, MI 48917-8290 | 5177217701 | ADVANCED DERMATOLOGY OF MICHIGAN PC |
| Organization Legal Name | ADVANCED DERMATOLOGY OF MICHIGAN PC |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan D Sofen | Dermatology | Advanced Dermatology of Michigan PC | 16826 Newburgh Rd, Livonia, MI 48154-1600 |
| Adam C Schmid | Nurse Practitioner | Advanced Dermatology of Michigan PC | 44003 Partridge Creek Blvd, Clinton Township, MI 48038-0002 |
| Michelle K Bruner | Dermatology | Advanced Dermatology of Michigan PC | 1500 Eureka Rd, Wyanodtte, MI 48192-6103 |
| James J Simons Jr. | Dermatology | Advanced Dermatology of Michigan PC | 999 6th St, Traverse City, MI 49684-2301 |
| Anna J Mccaughna | Nurse Practitioner | Advanced Dermatology of Michigan PC | 3254 E Midland Rd, Bay Shores, Bay City, MI 48706-2835 |
| Brian H Gelb | Emergency Medicine | Advanced Dermatology of Michigan PC | 4170 Cedar Bluff Dr, Petoskey, MI 49770-7627 |
| Mary R Stoll | Physician Assistant | Advanced Dermatology of Michigan PC | 13450 E 12 Mile Rd, Warren, MI 48088-3671 |
| Neldagae S Chisa | Dermatology | Advanced Dermatology of Michigan PC | 36700 Woodward Ave, Suite 203, Bloomfield Hills, MI 48304-0930 |
| Therese A Birkam-jade | Physician Assistant | Advanced Dermatology of Michigan PC | 13450 E 12 Mile Rd, Warren, MI 48088-3671 |
| Jennifer A Meitzner | Nurse Practitioner | Advanced Dermatology of Michigan PC | 13450 E 12 Mile Rd, Warren, MI 48088-3671 |
| Street Address |
416 S CREYTS RD |
| City | LANSING |
| State | MI |
| Zip | 48917-8290 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stefanie Marzinski | Physical Therapy | Exclusive Physical Therapy Inc | 416 S Creyts Rd, Suite B, Lansing, MI 48917-8290 |
| Scott J Benjamin | Physical Therapy | Exclusive Physical Therapy Inc | 416 S Creyts Rd, Suite B, Lansing, MI 48917-8290 |
| Cameron Thomas Freund | Physical Therapy | Exclusive Physical Therapy Inc | 416 S Creyts Rd, Suite B, Lansing, MI 48917-8290 |
| Mark Hatch | Dermatology | Advanced Dermatology of Michigan PC | 416 S Creyts Rd, Lansing, MI 48917-8290 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jyothsna Yalavarthi | Internal Medicine | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Kathleen M Isley | Nurse Practitioner | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Madelon K Krissoff | Internal Medicine | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Stephanie M Horanic | Nurse Practitioner | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Francina N Chinodakufa | Hospitalist | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Heather L Wright | Family Medicine | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Saleh F Dyke | Family Medicine | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Jenelle B Kalvoda | Nurse Practitioner | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| James R Macbride | Family Medicine | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Elizabeth Anne Smith | Nurse Practitioner | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Find all physicians in zip 48917 | |||
| City | LANSING |
| Zip Code | 48917 |
| Specialty | DERMATOLOGY |
| City + Specialty | LANSING + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.