Jon Eric Miller (NPI# 1104808880, PAC ID# 4688644560) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1104808880 |
PAC ID by PECOS | 4688644560 |
Professional Enrollment ID | I20040728000919 |
Full Name | Jon Eric Miller |
Organization Legal Name | EAST HOLMES FAMILY CARE INC |
Address |
4907 A Dalbey Ln Berlin OH 44610 |
Phone Number | 3308932341 |
Gender | M |
Credential | MD |
Medical School | MEDICAL COLLEGE OF OHIO AT TOLEDO |
Graduation Year | 1997 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 4587642947 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360148 | POMERENE HOSPITAL |
360084 | AULTMAN HOSPITAL |
Address | Phone | Organization |
---|---|---|
4907 A Dalbey Ln, Berlin, OH 44610 | 3308932341 | EAST HOLMES FAMILY CARE INC |
4981 Walnut St, Walnut Creek, OH 44687 | 3308932431 | EAST HOLMES FAMILY CARE INC |
Organization Legal Name | EAST HOLMES FAMILY CARE INC |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Whitney Hofstetter | Nurse Practitioner | East Holmes Family Care Inc | 4981 Walnut St, Walnut Creek, OH 44687 |
Zachary T Boyd | Family Medicine | East Holmes Family Care Inc | 103 E Main St, Baltic, OH 43804 |
Robert Kim Kornhaus | Family Medicine | East Holmes Family Care Inc | 103 E Main St, Baltic, OH 43804 |
Kim Edward Boyd | Family Medicine | East Holmes Family Care Inc | 4907 A Dalbey Ln, Berlin, OH 44610 |
Street Address |
4907 A DALBEY LN |
City | BERLIN |
State | OH |
Zip | 44610 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kim Edward Boyd | Family Medicine | East Holmes Family Care Inc | 4907 A Dalbey Ln, Berlin, OH 44610 |
Name | Specialty | Organization | Address |
---|---|---|---|
Alexandra Laurel Miller | Physical Therapy | 4805 E Main St, Po Box 347, Berlin, OH 44610 | |
Rohini Kalisetti | Internal Medicine | Health Professionals of Holmes County, Inc. | 4900 Oak St, Berlin, OH 44610 |
James M Miller | Optometry | Robert L. Miller, Od Inc. | 4907 Dalbey Ln B, Berlin, OH 44610 |
Robert Miller | Optometry | Robert L. Miller, Od Inc. | 4907 Dalbey Ln B, Berlin, OH 44610 |
Cory Dustin Morris | Physician Assistant | Health Professionals of Holmes County, Inc. | 4900 Oak St, Berlin, OH 44610 |
Caitlin E Jones | Physician Assistant | Health Professionals of Holmes County, Inc. | 4900 Oak St, Berlin, OH 44610 |
Loren M Kirchner | Internal Medicine | Health Professionals of Holmes County, Inc. | 4900 Oak St, Berlin, OH 44610 |
City | BERLIN |
Zip Code | 44610 |
Specialty | FAMILY MEDICINE |
City + Specialty | BERLIN + FAMILY MEDICINE |
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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.