Krista A Miller (NPI# 1093215089, PAC ID# 6709773658) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1093215089 |
| PAC ID by PECOS | 6709773658 |
| Professional Enrollment ID | I20180321002556 |
| Full Name | Krista A Miller |
| Organization Legal Name | PROVIDENCE MEDICAL GROUP |
| Address |
49 E Ctr St Farmersville OH 45325-1110 |
| Phone Number | 9376962858 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2860386349 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360239 | KETTERING MEDICAL CENTER - SYCAMORE |
| 360133 | GRANDVIEW AND SOUTHVIEW HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 49 E Ctr St, Farmersville, OH 45325-1110 | 9376962858 | PROVIDENCE MEDICAL GROUP |
| 1870 Dayton Germantown Pike, Germantown, OH 45327-1100 | 9378556006 | PROVIDENCE MEDICAL GROUP |
| Organization Legal Name | PROVIDENCE MEDICAL GROUP |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa Kay Edwards | Nurse Practitioner | Providence Medical Group | 8701 Troy Pike, Suite 20, Huber Heights, OH 45424-1073 |
| Timothy D Webb | Family Medicine | Providence Medical Group | 4403 W Franklin St D, Bellbrook, OH 45305-2700 |
| Caitlyn Frantz | Nurse Practitioner | Providence Medical Group | 6255 Chambersburg Rd, Huber Heights, OH 45424-3873 |
| Meta Lisa Howard | Nurse Practitioner | Providence Medical Group | 400 Corporate Ctr Dr, Vandalia, OH 45377-1164 |
| Kristen M Schwieterman | Nurse Practitioner | Providence Medical Group | 4353e State Route 73, Waynesville, OH 45068-8812 |
| Kevin A Carter | Family Medicine | Providence Medical Group | 38 Woodcroft Trl, Beavercreek, OH 45430-1980 |
| Shane T Sampson | Family Medicine | Providence Medical Group | 2912 Springboro W, Moraine, OH 45439-1674 |
| Mary F Sroga | Nurse Practitioner | Providence Medical Group | 1870 Dayton Germantown Pike, Germantown, OH 45327-1100 |
| James R Fisco | Family Medicine | Providence Medical Group | 70 Remick Blvd, Springboro, OH 45066-9168 |
| Barbara A Bennett | Family Medicine | Providence Medical Group | 8701 Old Troy Pike, Suite 50, Huber Heights, OH 45424-1055 |
| Street Address |
49 E CTR ST |
| City | FARMERSVILLE |
| State | OH |
| Zip | 45325-1110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence G Ratcliff | Family Medicine | Providence Medical Group | 49 E Ctr St, Farmersville, OH 45325-1110 |
| Danielle R Little | Nurse Practitioner | Providence Medical Group | 49 E Ctr St, Farmersville, OH 45325-1110 |
| City | FARMERSVILLE |
| Zip Code | 45325 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FARMERSVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Krista A 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.