Richard A Miller (NPI# 1023007242, PAC ID# 0547154247) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1023007242 |
| PAC ID by PECOS | 0547154247 |
| Professional Enrollment ID | I20101021000176 |
| Full Name | Richard A Miller |
| Organization Legal Name | LARGO PHYSICIAN GROUP LLC |
| Address |
1559 Indian Rocks S Rd Largo FL 33770-4542 |
| Phone Number | 7275879044 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3678647039 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100127 | MORTON PLANT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 115 Highland Ne Ave, Largo, FL 33770-2530 | 7275858591 | BAY DERMATOLOGY AND COSMETIC SURGERY PA |
| 13540 Walsingham Rd, Suite D, Largo, FL 33774-3546 | 7275935492 | LARGO PHYSICIAN GROUP LLC |
| 1559 Indian Rocks S Rd, Largo, FL 33770-4542 | 7275879044 | LARGO PHYSICIAN GROUP LLC |
| 8220 Us 19, Port Richey, FL 34668 | 7278418505 | BAY DERMATOLOGY AND COSMETIC SURGERY PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 82% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 73% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 99% |
| Organization Legal Name | LARGO PHYSICIAN GROUP LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David O Esguerra | Dermatology | Largo Physician Group LLC | 13540 Walsingham Rd, Suite D, Largo, FL 33774-3546 |
| David W Dorton | Dermatology | Largo Physician Group LLC | 1559 Indian Rocks S Rd, Largo, FL 33770-4542 |
| Eric Sladek | Internal Medicine | Largo Physician Group LLC | 11373 Cortez Blvd, Suite 408, Brooksville, FL 34613-5406 |
| Jennifer S Broyles | Family Medicine | Largo Physician Group LLC | 6450 38th Ave N, Suite 400, St Petersburg, FL 33710-1653 |
| Sara Bibi | Internal Medicine | Largo Physician Group LLC | 11373 Cortez Blvd, Suite 408, Brooksville, FL 34613-5406 |
| Kristin J Witfill | Dermatology | Largo Physician Group LLC | 7655 38th Ave N, Suite 202, St Petersburg, FL 33710-1263 |
| Yvonne Jeanette Braver | Internal Medicine | Largo Physician Group LLC | 511 W Alexander St, 2 Brandon Internal Medicine, Plant City, FL 33563-7116 |
| Summer D Moon | Dermatology | Largo Physician Group LLC | 1559 Indian Rocks S Rd, Largo, FL 33770-4542 |
| Christina E Stamoolis | Family Medicine | Largo Physician Group LLC | 6450 38th Ave N, Suite 400, St Petersburg, FL 33710-1653 |
| Pranav Wasti | Internal Medicine | Largo Physician Group LLC | 11373 Cortez Blvd, Suite 408, Brooksville, FL 34613-5406 |
| Street Address |
1559 INDIAN ROCKS S RD |
| City | LARGO |
| State | FL |
| Zip | 33770-4542 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David W Dorton | Dermatology | Largo Physician Group LLC | 1559 Indian Rocks S Rd, Largo, FL 33770-4542 |
| Summer D Moon | Dermatology | Largo Physician Group LLC | 1559 Indian Rocks S Rd, Largo, FL 33770-4542 |
| Altamash Iftikhar | Family Medicine | Largo Physician Group LLC | 1559 Indian Rocks S Rd, Largo, FL 33770-4542 |
| Krina Chavda | Dermatology | Largo Physician Group LLC | 1559 Indian Rocks S Rd, Largo, FL 33770-4542 |
| Risa B Ross | Dermatology | Largo Physician Group LLC | 1559 Indian Rocks S Rd, Largo, FL 33770-4542 |
| Danny Abbruzzese | Internal Medicine | Largo Physician Group LLC | 1559 Indian Rocks S Rd, Largo, FL 33770-4542 |
| Benjamin R Devries | Family Practice | Largo Physician Group LLC | 1559 Indian Rocks S Rd, Largo, FL 33770-4542 |
| William F Murphy | Family Practice | Largo Physician Group LLC | 1559 Indian Rocks S Rd, Largo, FL 33770-4542 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Knowlton | Nurse Practitioner | 493 Bluff View Dr, Belleair Bluffs, FL 33770-1308 | |
| Stephen J Steller | Chiropractic | Steller Life Care, Inc. | 515 Missouri Ave, Largo, FL 33770-1534 |
| William G Grenelle | Chiropractic | Steller Life Care, Inc. | 515 Missouri Ave, Largo, FL 33770-1534 |
| Bethany L Berghoffer | Physician Assistant | Edward G Mackay, Md and Associates, LLC | 2051 W Bay Dr, Largo, FL 33770-1924 |
| Solmari Gonzalez Rivera | Chiropractic | Bender Chiropractic Center Pa | 321 Indian Rocks Rd N, Suite C, Belleair Bluffs, FL 33770-2000 |
| Kimberly Horton-bender | Chiropractic | Bender Chiropractic Center Pa | 321 Indian Rocks Rd N, Suite C, Belleair Bluffs, FL 33770-2000 |
| Marissa Lyn Hols | Chiropractic | Bender Chiropractic Center Pa | 321 Indian Rocks Rd N, Suite C, Belleair Bluffs, FL 33770-2000 |
| Caitlin A Schmitt | Chiropractic | Bender Chiropractic Center Pa | 321 Indian Rocks Rd N, Suite C, Belleair Bluffs, FL 33770-2000 |
| Sylvia L Ruetz | Physical Therapy | 760 Indian Rocks Rd N, Belleair Bluffs, FL 33770-2020 | |
| Robert A Fady | Chiropractic | 490 N Indian Rocks Rd, Suite B, Belleair Bluffs, FL 33770-2085 | |
| Find all physicians in zip 33770 | |||
| City | LARGO |
| Zip Code | 33770 |
| Specialty | DERMATOLOGY |
| City + Specialty | LARGO + 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.