Jackie S Miller (NPI# 1053353045, PAC ID# 6305924465) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1053353045 |
| PAC ID by PECOS | 6305924465 |
| Professional Enrollment ID | I20080929000749 |
| Full Name | Jackie S Miller |
| Organization Legal Name | NORTHWEST MEDICAL CENTER ASSOCIATION INC |
| Address |
705 N College St Mosaic Medical Center Albany Albany MO 64402-1433 |
| Phone Number | 6607263941 |
| Gender | F |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5496641896 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 261328 | NORTHWEST MEDICAL CENTER |
| 260006 | MOSAIC LIFE CARE AT ST JOSEPH |
| 260050 | SSM HEALTH ST. FRANCIS HOSPITAL- MARYVILLE |
| Address | Phone | Organization |
|---|---|---|
| 1607 E Us Hwy 136, Mosaic Family Care Albany East, Albany, MO 64402-8223 | 6607263333 | NORTHWEST MEDICAL CENTER ASSOCIATION INC |
| 705 N College St, Mosaic Medical Center Albany, Albany, MO 64402-1433 | 6607263941 | NORTHWEST MEDICAL CENTER ASSOCIATION INC |
| Organization Legal Name | NORTHWEST MEDICAL CENTER ASSOCIATION INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis J | Nurse Practitioner | Northwest Medical Center Association Inc | 1607 E Us Hwy 136, Mosaic Family Care Albany East, Albany, MO 64402-8223 |
| Stacey L Karns | Physician Assistant | Northwest Medical Center Association Inc | 16 W 4th St, Grant City, MO 64456-4500 |
| Katie E Dias | Family Medicine | Northwest Medical Center Association Inc | 705 N College St, Albany, MO 64402-1433 |
| Angelia D Martin | Family Medicine | Northwest Medical Center Association Inc | 705 N College St, Albany, MO 64402-1433 |
| Callie Hunter | Nurse Practitioner | Northwest Medical Center Association Inc | 202 E Main St, Stanberry, MO 64489-1358 |
| Street Address |
705 N COLLEGE ST MOSAIC MEDICAL CENTER ALBANY |
| City | ALBANY |
| State | MO |
| Zip | 64402-1433 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohan R Hindupur | Cardiovascular Disease (cardiology) | Heartland Regional Medical Center | 705 N College St, Northwest Medical Center, Albany, MO 64402-1433 |
| Brett R Nielson | Diagnostic Radiology | Radiology Specialists of St Joseph PC | 705 N College St, Albany, MO 64402-1433 |
| Jose F Alvarez | Diagnostic Radiology | Radiology Specialists of St Joseph PC | 705 N College St, Albany, MO 64402-1433 |
| Benjamin Philip Saverino | Diagnostic Radiology | Radiology Specialists of St Joseph PC | 705 N College St, Albany, MO 64402-1433 |
| Katie E Dias | Family Medicine | Northwest Medical Center Association Inc | 705 N College St, Albany, MO 64402-1433 |
| Gillian L Jones | General Surgery | Heartland Regional Medical Center | 705 N College St, Northwest Medical Center, Albany, MO 64402-1433 |
| David Lloyd Ewing | Neurology | Heartland Regional Medical Center | 705 N College St, Northwest Medical Center, Albany, MO 64402-1433 |
| Angelia D Martin | Family Medicine | Northwest Medical Center Association Inc | 705 N College St, Albany, MO 64402-1433 |
| Donald Sallee Ii | Interventional Radiology | Radiology Specialists of St Joseph PC | 705 N College St, Albany, MO 64402-1433 |
| Junping Yang | Endocrinology | Heartland Regional Medical Center | 705 N College St, Northwest Medical Center, Albany, MO 64402-1433 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Poplaw | Diagnostic Radiology | Radiology Specialists of St Joseph PC | 705 N College St, Albany, MO 64402-1433 |
| Case A Ruckman | Chiropractic | Kimberly Ann Findley D C P C | 309 W Clay St, Albany, MO 64402-1605 |
| Kimberly A Findley | Chiropractic | Kimberly Ann Findley D C P C | 309 W Clay St, Albany, MO 64402-1605 |
| Jerry E Kadolph | Chiropractic | Kimberly Ann Findley D C P C | 201 S Polk St, Albany, MO 64402-1618 |
| Naser Oliver Soghrati | Internal Medicine | 29 Warrior Dr, Albany, MO 64402-8197 | |
| Travis J | Nurse Practitioner | Northwest Medical Center Association Inc | 1607 E Us Hwy 136, Mosaic Family Care Albany East, Albany, MO 64402-8223 |
| City | ALBANY |
| Zip Code | 64402 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ALBANY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jackie S 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.