Jay James R Miller (NPI# 1003915968, PAC ID# 3870579295) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1003915968 |
| PAC ID by PECOS | 3870579295 |
| Professional Enrollment ID | I20040626000275 |
| Full Name | Jay James R Miller |
| Address |
107 N Regency Dr Suite 2 Bloomington IL 61701-3515 |
| Gender | M |
| Credential | MD |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | UROLOGY |
| Secondary Specialties | OBSTETRICS/GYNECOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140162 | ST JOSEPH MEDICAL CENTER |
| 140127 | ADVOCATE BROMENN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 107 N Regency Dr, Suite 2, Bloomington, IL 61701-3515 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
107 N REGENCY DR SUITE 2 |
| City | BLOOMINGTON |
| State | IL |
| Zip | 61701-3515 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Dutta | Obstetrics/gynecology | Sarah Dutta Obgyn Sc | 107 N Regency Dr, Suite 3, Bloomington, IL 61701-3505 |
| Margaret J Neumann | Nurse Practitioner | Sarah Dutta Obgyn Sc | 107 N Regency Dr, Suite 3, Bloomington, IL 61701-3505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony J Buecker | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
| Ryan E Newberger | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
| Kayla S Olesky | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
| Alex R Yuan | Emergency Medicine | St. Joseph Medical Center | 2200 W Washington St, Bloomington, IL 61701 |
| Tracy Pacini | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| Dean Ryan Mccullough | Clinical Social Worker | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| James W Tarasuik Jr. | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| Jenia Rochelle Heavens | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| Paula C Miller | Nurse Practitioner | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| Nancy G Duffy | Clinical Social Worker | Chestnut Health Systems, Inc. | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 |
| Find all physicians in zip 61701 | |||
| City | BLOOMINGTON |
| Zip Code | 61701 |
| Specialty | UROLOGY |
| City + Specialty | BLOOMINGTON + UROLOGY |
Please comment or provide details below to improve the information on Jay James R 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.