Melissa K Loomis Miller (NPI# 1558663609, PAC ID# 2668660556) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1558663609 |
| PAC ID by PECOS | 2668660556 |
| Professional Enrollment ID | I20101220000202 |
| Full Name | Melissa K Loomis Miller |
| Organization Legal Name | NORTHLAND PHYSICAL MEDICINE, LLC |
| Address |
5601 Ne Antioch Rd Suite 4 Gladstone MO 64119-2394 |
| Phone Number | 8164524488 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9830346824 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 161314 | GUTHRIE COUNTY HOSPITAL |
| 161350 | STEWART MEMORIAL COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5601 Ne Antioch Rd, Suite 4, Gladstone, MO 64119-2394 | 8164524488 | NORTHLAND PHYSICAL MEDICINE, LLC |
| 1301 W Main St, Lake City, IA 51449-1585 | 7124643171 | STEWART MEMORIAL COMMUNITY HOSPITAL |
| 22742 Midland Dr, Shawnee, KS 66226-3553 | 9134412293 | LIFEWORKS INTEGRATIVE HEALTH LLC |
| Organization Legal Name | NORTHLAND PHYSICAL MEDICINE, LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kendra Lynn Pearson | Chiropractic | Northland Physical Medicine, LLC | 5601 Ne Antioch Rd, Suite 4, Gladstone, MO 64119-2394 |
| Christopher E Egorugwu | Physical Therapy | Northland Physical Medicine, LLC | 5601 Ne Antioch Rd, Suite 4, Gladstone, MO 64119-2394 |
| Sonya K Roe | Nurse Practitioner | Northland Physical Medicine, LLC | 5601 Ne Antioch Rd, Suite 4, Gladstone, MO 64119-2394 |
| Colin S Mermey | Chiropractic | Northland Physical Medicine, LLC | 5601 Ne Antioch Rd, Suite 4, Gladstone, MO 64119-2394 |
| Molly Beth Winder | Nurse Practitioner | Northland Physical Medicine, LLC | 5601 Ne Antioch Rd, Suite 4, Gladstone, MO 64119-2394 |
| Christina M Reser | Nurse Practitioner | Northland Physical Medicine, LLC | 5601 Ne Antioch Rd, Gladstone, MO 64119-2375 |
| Street Address |
5601 NE ANTIOCH RD SUITE 4 |
| City | GLADSTONE |
| State | MO |
| Zip | 64119-2394 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kendra Lynn Pearson | Chiropractic | Northland Physical Medicine, LLC | 5601 Ne Antioch Rd, Suite 4, Gladstone, MO 64119-2394 |
| Christopher E Egorugwu | Physical Therapy | Northland Physical Medicine, LLC | 5601 Ne Antioch Rd, Suite 4, Gladstone, MO 64119-2394 |
| Sonya K Roe | Nurse Practitioner | Northland Physical Medicine, LLC | 5601 Ne Antioch Rd, Suite 4, Gladstone, MO 64119-2394 |
| Colin S Mermey | Chiropractic | Northland Physical Medicine, LLC | 5601 Ne Antioch Rd, Suite 4, Gladstone, MO 64119-2394 |
| Brandon M Schultz | Chiropractic | Pearson Chiropractic and Acupunture LLC | 5601 Ne Antioch Rd, Suite 4, Gladstone, MO 64119-2328 |
| Molly Beth Winder | Nurse Practitioner | Northland Physical Medicine, LLC | 5601 Ne Antioch Rd, Suite 4, Gladstone, MO 64119-2394 |
| Christina M Reser | Nurse Practitioner | Northland Physical Medicine, LLC | 5601 Ne Antioch Rd, Gladstone, MO 64119-2375 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawna D Heintz | Optometry | 7201 N M1 Hwy, Gladstone, MO 64119 | |
| Jay P Sportsman | Chiropractic | 2909 Ne Brooktree Lane, Sportsman Chiropractic, Gladstone, MO 64119 | |
| Trey J Hilt | Chiropractic | Infinity Chiropractic and Acupuncture | 8002 N Brighton Ave, Kansas City, MO 64119-1411 |
| Nichole Mf Hilt | Chiropractic | Infinity Chiropractic and Acupuncture | 8002 N Brighton Ave, Kansas City, MO 64119-1411 |
| Jessica L Treece | Emergency Medicine | Jayhawk Primary Care Inc | 6420 N Prospect Ave, Creekwood Family Care, Gladstone, MO 64119-1530 |
| Valentenia Daugherty | Podiatry | Preferred Podiatry Group PC | 3000 Ne 64th St, Gladstone, MO 64119-1569 |
| Richard M Steffen | Chiropractic | 6505 N Prospect, Suite 700, Gladstone, MO 64119-1570 | |
| Innocent O Anya | Psychiatry | 3000 Ne Brooktree Ln, Suite 200, Gladstone, MO 64119-1861 | |
| Alyssa Baily Sherwood | Optometry | Viking Vision Inc | 5769 Ne Antioch Rd, In Vision Eye Care Center Gladstone, Gladstone, MO 64119-2017 |
| Shawnda R Gross | Chiropractic | 5737 Ne Antioch Rd, Gladstone, MO 64119-2017 | |
| Find all physicians in zip 64119 | |||
| City | GLADSTONE |
| Zip Code | 64119 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GLADSTONE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Melissa K Loomis 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.