Timothy D Miller (NPI# 1346419355, PAC ID# 2264589357) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1346419355 |
| PAC ID by PECOS | 2264589357 |
| Professional Enrollment ID | I20090407000084 |
| Full Name | Timothy D Miller |
| Organization Legal Name | LUBBOCK DIGESTIVE DISEASE ASSOCIATES |
| Address |
3610 24th St Lubbock TX 79410-2014 |
| Gender | M |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GASTROENTEROLOGY |
| Group Practice PAC ID | 0042298457 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450040 | COVENANT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4370 Medical Arts Dr, Suite 295, Flower Mound, TX 75028-1742 | 9726913777 | TEXAS DIGESTIVE DISEASE CONSULTANTS PLLC |
| 3610 24th St, Lubbock, TX 79410-2014 | LUBBOCK DIGESTIVE DISEASE ASSOCIATES |
| Organization Legal Name | LUBBOCK DIGESTIVE DISEASE ASSOCIATES |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mayme A Matthews | Certified Registered Nurse Anesthetist (crna) | Lubbock Digestive Disease Associates | 3610 24th St, Lubbock, TX 79410-2014 |
| Usha R Ganga | Gastroenterology | Lubbock Digestive Disease Associates | 3610 24th St, Lubbock, TX 79410-2014 |
| Uchenna Ugokwe | Certified Registered Nurse Anesthetist (crna) | Lubbock Digestive Disease Associates | 3610 24th St, Lubbock, TX 79410-2014 |
| Boyd S Fenton | Gastroenterology | Lubbock Digestive Disease Associates | 3610 24th St, Lubbock, TX 79410-2014 |
| Cari Kathryn Sorrell | Gastroenterology | Lubbock Digestive Disease Associates | 3610 24th St, Lubbock, TX 79410-2014 |
| Linda J Weyandt | Certified Registered Nurse Anesthetist (crna) | Lubbock Digestive Disease Associates | 3610 24th St, Lubbock, TX 79410-2014 |
| Tina A Fell | Certified Registered Nurse Anesthetist (crna) | Lubbock Digestive Disease Associates | 3610 24th St, Lubbock, TX 79410-2014 |
| Miled A Jabor | Gastroenterology | Lubbock Digestive Disease Associates | 3610 24th St, Lubbock, TX 79410-2014 |
| Kelly Paul Kensing | Gastroenterology | Lubbock Digestive Disease Associates | 3610 24th St, Lubbock, TX 79410-2014 |
| Jacquelyn Rockman | Certified Registered Nurse Anesthetist (crna) | Lubbock Digestive Disease Associates | 3610 24th St, Lubbock, TX 79410-2014 |
| Street Address |
3610 24TH ST |
| City | LUBBOCK |
| State | TX |
| Zip | 79410-2014 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mayme A Matthews | Certified Registered Nurse Anesthetist (crna) | Lubbock Digestive Disease Associates | 3610 24th St, Lubbock, TX 79410-2014 |
| Usha R Ganga | Gastroenterology | Lubbock Digestive Disease Associates | 3610 24th St, Lubbock, TX 79410-2014 |
| Uchenna Ugokwe | Certified Registered Nurse Anesthetist (crna) | Lubbock Digestive Disease Associates | 3610 24th St, Lubbock, TX 79410-2014 |
| Boyd S Fenton | Gastroenterology | Lubbock Digestive Disease Associates | 3610 24th St, Lubbock, TX 79410-2014 |
| Cari Kathryn Sorrell | Gastroenterology | Lubbock Digestive Disease Associates | 3610 24th St, Lubbock, TX 79410-2014 |
| Linda J Weyandt | Certified Registered Nurse Anesthetist (crna) | Lubbock Digestive Disease Associates | 3610 24th St, Lubbock, TX 79410-2014 |
| Tina A Fell | Certified Registered Nurse Anesthetist (crna) | Lubbock Digestive Disease Associates | 3610 24th St, Lubbock, TX 79410-2014 |
| Miled A Jabor | Gastroenterology | Lubbock Digestive Disease Associates | 3610 24th St, Lubbock, TX 79410-2014 |
| Kelly Paul Kensing | Gastroenterology | Lubbock Digestive Disease Associates | 3610 24th St, Lubbock, TX 79410-2014 |
| Jacquelyn Rockman | Certified Registered Nurse Anesthetist (crna) | Lubbock Digestive Disease Associates | 3610 24th St, Lubbock, TX 79410-2014 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy E Neudorf | Physician Assistant | Covenant Medical Group | 2201 Oxford, Lubbock, TX 79410 |
| Allison P Vaughn | Nurse Practitioner | Covenant Medical Group | 2102 Oxford A, Lubbock, TX 79410 |
| Amelia Jay | Nurse Practitioner | Covenant Medical Group | 2102 Oxford B, Lubbock, TX 79410 |
| Clinton G Wolboldt | Family Practice | Covenant Medical Group | 2102 Oxford A, Lubbock, TX 79410 |
| Darla K Walker | Nurse Practitioner | Covenant Medical Group | 2201 Oxford, Lubbock, TX 79410 |
| Prakash Shrestha | Infectious Disease | Covenant Medical Group | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 |
| Larry A Warmoth | Nephrology | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 | |
| Melissa Mae Wotring-norman | Hospitalist | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 | |
| Paul S Singh | Obstetrics/gynecology | Covenant Medical Group | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 |
| Lakhu J Rohra | Internal Medicine | 3802 21st St, Suite C, Lubbock, TX 79410-1011 | |
| Find all physicians in zip 79410 | |||
| City | LUBBOCK |
| Zip Code | 79410 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LUBBOCK + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Timothy D 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.