Ted J Miller (NPI# 1063483568, PAC ID# 2264558048) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1063483568 |
| PAC ID by PECOS | 2264558048 |
| Professional Enrollment ID | I20100929001099 |
| Full Name | Ted J Miller |
| Organization Legal Name | LONG HOLLOW FAMILY PRACTICE |
| Address |
450 Professional Park Dr C Goodlettsville TN 37072-2147 |
| Phone Number | 6158591440 |
| Gender | M |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7810984440 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440194 | TRISTAR HENDERSONVILLE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 450 Professional Park Dr C, Goodlettsville, TN 37072-2147 | 6158591440 | LONG HOLLOW FAMILY PRACTICE |
| Organization Legal Name | LONG HOLLOW FAMILY PRACTICE |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John E Baites Jr. | Family Medicine | Long Hollow Family Practice | 450 Professional Park Dr C, Goodlettsville, TN 37072-2147 |
| Street Address |
450 PROFESSIONAL PARK DR C |
| City | GOODLETTSVILLE |
| State | TN |
| Zip | 37072-2147 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John E Baites Jr. | Family Medicine | Long Hollow Family Practice | 450 Professional Park Dr C, Goodlettsville, TN 37072-2147 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lee A Bullington | Chiropractic | 120 E Cedar St, Godlettsville, TN 37072-1434 | |
| Jeffrey T Bryant | Psychologist, Clinical | 420 N Main St, Goodlettsville, TN 37072-1520 | |
| Bill Wayne Swilley | Family Medicine | 420 N Main St, Goodlettsville, TN 37072-1520 | |
| Janice Y Walker | Clinical Psychologist | 420 N Main St, Goodlettsville, TN 37072-1520 | |
| Kenneth R Stohr | Chiropractic | Guardian Chiropractic Pllc | 100 N Main St, Suite A, Goodlettsville, TN 37072-1524 |
| Dalton Tolliver | Chiropractic | Guardian Chiropractic Pllc | 100 N Main St, Suite A, Goodlettsville, TN 37072-1524 |
| William Miller | Chiropractic | Guardian Chiropractic Pllc | 100 N Main St, Suite A, Goodlettsville, TN 37072-1524 |
| Stephanie Dawn Fortney | Chiropractic | 301 S Main St, Suite D, Goodlettsville, TN 37072-1749 | |
| Stephen L Hammerman | Family Practice | 601 S Main St, A, Goodlettsville, TN 37072-1757 | |
| Kenneth W Brawner | Optometry | 900 Conference Dr, Suite 15b, Goodlettsville, TN 37072-1909 | |
| Find all physicians in zip 37072 | |||
| City | GOODLETTSVILLE |
| Zip Code | 37072 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GOODLETTSVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ted J Miller.
| 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.