Kathleen J Miller (NPI# 1194971911, PAC ID# 1254595648) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1194971911 |
| PAC ID by PECOS | 1254595648 |
| Professional Enrollment ID | I20120615000045 |
| Full Name | Kathleen J Miller |
| Organization Legal Name | MAPLE LEAF FAMILY AND SPORTS MEDICINE, LLC |
| Address |
2211 Timber Trl Bellefontaine OH 43311-9036 |
| Phone Number | 9375923808 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7416844592 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360197 | MARY RUTAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2211 Timber Trl, Bellefontaine, OH 43311-9036 | 9375923808 | MAPLE LEAF FAMILY AND SPORTS MEDICINE, LLC |
| Organization Legal Name | MAPLE LEAF FAMILY AND SPORTS MEDICINE, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John C O'connor | Emergency Medicine | Maple Leaf Family and Sports Medicine, LLC | 2211 Timber Trl, Bellefontaine, OH 43311-9036 |
| Kristen T Braig | Family Medicine | Maple Leaf Family and Sports Medicine, LLC | 2211 Timber Trl, Bellefontaine, OH 43311-9036 |
| Boyd C Hoddinott | Family Medicine | Maple Leaf Family and Sports Medicine, LLC | 2211 Timber Trl, Bellefontaine, OH 43311-9036 |
| Rachel G Frinak | Nurse Practitioner | Maple Leaf Family and Sports Medicine, LLC | 2211 Timber Trl, Bellefontaine, OH 43311-9036 |
| Street Address |
2211 TIMBER TRL |
| City | BELLEFONTAINE |
| State | OH |
| Zip | 43311-9036 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John C O'connor | Emergency Medicine | Maple Leaf Family and Sports Medicine, LLC | 2211 Timber Trl, Bellefontaine, OH 43311-9036 |
| Kristen T Braig | Family Medicine | Maple Leaf Family and Sports Medicine, LLC | 2211 Timber Trl, Bellefontaine, OH 43311-9036 |
| Boyd C Hoddinott | Family Medicine | Maple Leaf Family and Sports Medicine, LLC | 2211 Timber Trl, Bellefontaine, OH 43311-9036 |
| Rachel G Frinak | Nurse Practitioner | Maple Leaf Family and Sports Medicine, LLC | 2211 Timber Trl, Bellefontaine, OH 43311-9036 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert H Davis | Pathology | Mary Rutan Hospital | 205 Palmer Ave, Bellefontaine, OH 43311 |
| Gregg Scott Fulmer | Hospitalist | Mary Rutan Hospital | 205 Palmer Ave, Bellefontaine, OH 43311 |
| Anthony John Beisler | General Surgery | Mary Rutan Hospital | 205 Palmer Ave, Bellefontaine, OH 43311 |
| Akita Miller-abbey | Nurse Practitioner | Mary Rutan Hospital | 205 Palmer Ave, Bellefontaine, OH 43311 |
| Michelle L Kennard | Nurse Practitioner | Mary Rutan Hospital | 205 Palmer Ave, Bellefontaine, OH 43311 |
| Elizabeth E Moore | Nurse Practitioner | Mary Rutan Hospital | 205 Palmer Ave, Bellefontaine, OH 43311 |
| Devin L Grappy | Nurse Practitioner | Mary Rutan Hospital | 205 Palmer Ave, Bellefontaine, OH 43311 |
| Arthur Costin | Family Medicine | Costin Family Practice, Inc. | 130 N Detroit St, Bellefontaine, OH 43311-1464 |
| Scott Costin | Family Medicine | Costin Family Practice, Inc. | 130 N Detroit St, Bellefontaine, OH 43311-1464 |
| Jeffrey M Ward | Optometry | Valley Eye Institute Inc | 1449 S Main St, Bellefontaine, OH 43311-1503 |
| Find all physicians in zip 43311 | |||
| City | BELLEFONTAINE |
| Zip Code | 43311 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BELLEFONTAINE + NURSE PRACTITIONER |
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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.