Stephen A Miller
COFFEYVILLE REGIONAL MEDICAL CENTER INC


Address: 122 W Myrtle St, Crmc Medical Group, Independence, KS 67301-3317
Phone: 6205774062

Stephen A Miller (NPI# 1114026937, PAC ID# 5496796120) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.

Physician Overview

Nation Provider ID (NPI) 1114026937
PAC ID by PECOS 5496796120
Professional Enrollment ID I20050512000742
Full Name Stephen A Miller
Organization Legal Name COFFEYVILLE REGIONAL MEDICAL CENTER INC
Address 122 W Myrtle St
Crmc Medical Group
Independence
KS 67301-3317
Phone Number 6205774062
Gender M
Credential DO
Medical School THE UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MEDICINE
Graduation Year 1976
Primary Specialty OBSTETRICS/GYNECOLOGY
Group Practice PAC ID 9032108865
Number of Group Practice Members 24
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
170145 COFFEYVILLE REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
1717 W 8th St, Crmc Medical Group, Coffeyville, KS 67337-3101 6202510777 COFFEYVILLE REGIONAL MEDICAL CENTER INC
122 W Myrtle St, Crmc Medical Group, Independence, KS 67301-3317 6205774062 COFFEYVILLE REGIONAL MEDICAL CENTER INC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name COFFEYVILLE REGIONAL MEDICAL CENTER INC
Physicians 20

Physicians with the same organization

Name Specialty Organization Address
Mary Beth Hartley Nurse Practitioner Coffeyville Regional Medical Center Inc 1400 W 4th St, Coffeyville, KS 67337-3306
Gery Hsu Neurosurgery Coffeyville Regional Medical Center Inc 1400 W 4th St, Coffeyville, KS 67337-3306
Chad Young Mccready Physician Assistant Coffeyville Regional Medical Center Inc 1400 W 4th St, Coffeyville, KS 67337-3306
Susan Diane Jenkins Certified Registered Nurse Anesthetist (crna) Coffeyville Regional Medical Center Inc 1400 W 4th St, Coffeyville, KS 67337-3306
Bernard E Howerter Urology Coffeyville Regional Medical Center Inc 1400 W 4th St, Coffeyville, KS 67337-3306
Bridget Gibson Family Medicine Coffeyville Regional Medical Center Inc 122 W Myrtle St, Crmc Medical Group, Independence, KS 67301-3317
Julia Dawn Moses Certified Registered Nurse Anesthetist (crna) Coffeyville Regional Medical Center Inc 1400 W 4th St, Coffeyville Regional Medical Center LLC, Coffeyville, KS 67337-3306
Dara T Gibson Obstetrics/gynecology Coffeyville Regional Medical Center Inc 122 W Myrtle St, Crmc Medical Group, Independence, KS 67301-3317
Sunil Menon Orthopedic Surgery Coffeyville Regional Medical Center Inc 1400 W 4th St, Coffeyville, KS 67337-3306
Michelle M Mcguirk General Surgery Coffeyville Regional Medical Center Inc 1400 W 4th St, Crmc Medical Group, Coffeyville, KS 67337-3306

Office Location

Street Address 122 W MYRTLE ST
CRMC MEDICAL GROUP
City INDEPENDENCE
State KS
Zip 67301-3317

Physicians in the same location

Name Specialty Organization Address
Bridget Gibson Family Medicine Coffeyville Regional Medical Center Inc 122 W Myrtle St, Crmc Medical Group, Independence, KS 67301-3317
Dara T Gibson Obstetrics/gynecology Coffeyville Regional Medical Center Inc 122 W Myrtle St, Crmc Medical Group, Independence, KS 67301-3317
Perry Lin Obstetrics/gynecology Coffeyville Regional Medical Center Inc 122 W Myrtle St, Crmc Medical Group, Independence, KS 67301-3317
Aaron J Russell General Surgery Coffeyville Regional Medical Center Inc 122 W Myrtle St, Crmc Medical Group, Independence, KS 67301-3317
Judy Ann Carpenter Nurse Practitioner Coffeyville Regional Medical Center Inc 122 W Myrtle St, Crmc Medical Group, Independence, KS 67301-3317
Nancy Yvonne Barkley Nurse Practitioner Coffeyville Regional Medical Center, Inc. 122 W Myrtle St, Crmc Medical Group, Independence, KS 67301-3317

Physicians in the same zip code

Name Specialty Organization Address
Amanda J Johnson Chiropractic 1605 N Penn Ave, Independence, KS 67301-2137
Julie A Wittum Physical Therapy 2125 N Penn Ave, Suite B, Independence, KS 67301-2181
Barry E Wesselowski Podiatry Family Podiatry P.a. 209 N 6th St, Independence, KS 67301-3100
Jeffrey D Hogge Podiatry Family Podiatry P.a. 209 N 6th St, Independence, KS 67301-3100
Scott A Chiropractic Null Chiropractic LLC 204 E Chestnut, Independence, KS 67301-3132
Logan Alan Chiropractic Null Chiropractic LLC 204 E Chestnut, Independence, KS 67301-3132
Steven Wesley Chapman Chiropractic N.b. Management, Inc. 720 W Laurel St, Independence, KS 67301-3210
Cole William Pasternak Chiropractic N.b. Management, Inc. 720 W Laurel St, Independence, KS 67301-3210
Sarah L Kelley Optometry Drs Easter and Kelley Ods Pa 115 W Laurel St, Independence, KS 67301-3311
Sandra L Easter Optometry Drs Easter and Kelley Ods Pa 115 W Laurel St, Independence, KS 67301-3311
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Competitor

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City INDEPENDENCE
Zip Code 67301
Specialty OBSTETRICS/GYNECOLOGY
City + Specialty INDEPENDENCE + OBSTETRICS/GYNECOLOGY

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Dataset Information

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.

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