Carl Miller (NPI# 1124229208, PAC ID# 7012162530) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1124229208 |
| PAC ID by PECOS | 7012162530 |
| Professional Enrollment ID | I20170829001535 |
| Full Name | Carl Miller |
| Organization Legal Name | EAST TEXAS RADIOLOGY CONSULTANTS |
| Address |
707 Hollybrook Dr Longview TX 75605-2410 |
| Phone Number | 9037576042 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 2007 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6305937194 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450702 | LONGVIEW REGIONAL MEDICAL CENTER |
| 450032 | GOOD SHEPHERD MEDICAL CENTER MARSHALL |
| Address | Phone | Organization |
|---|---|---|
| 2901 N 4th St, Longview, TX 75605-5128 | 9037581818 | EAST TEXAS RADIOLOGY CONSULTANTS |
| 707 Hollybrook Dr, Longview, TX 75605-2410 | 9037576042 | EAST TEXAS RADIOLOGY CONSULTANTS |
| Organization Legal Name | EAST TEXAS RADIOLOGY CONSULTANTS |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy E Graham | Diagnostic Radiology | East Texas Radiology Consultants | 707 Hollybrook Dr, Longview, TX 75605-2410 |
| Cody Lee Castle | Nurse Practitioner | East Texas Radiology Consultants | 707 Hollybrook Dr, Longview, TX 75605-2410 |
| Robert A Maxey | Diagnostic Radiology | East Texas Radiology Consultants | 2901 N 4th St, Longview, TX 75605-5128 |
| James D Lowe | Diagnostic Radiology | East Texas Radiology Consultants | 707 Hollybrook Dr, Longview, TX 75605-2410 |
| Street Address |
707 HOLLYBROOK DR |
| City | LONGVIEW |
| State | TX |
| Zip | 75605-2410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah K Bell | Nurse Practitioner | Associated Clinicians of East Texas | 707 Hollybrook Dr, Longview, TX 75605-2410 |
| John L Wright Jr. | Family Medicine | Associated Clinicians of East Texas | 707 Hollybrook Dr, Longview, TX 75605-2410 |
| Rajani Ruth Caesar | Neurology | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Jeffrey R. Kemp | Internal Medicine | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Amy Lewis | Nurse Practitioner | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Roger Kiser | Internal Medicine | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Janet E Maffei | Physician Assistant | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Joseph W Bell | Internal Medicine | Associated Clinicians of East Texas | 707 Hollybrook Dr, Longview, TX 75605-2410 |
| Richard A Hamer | Neurology | Associated Clinicians of East Texas | 707 Hollybrook Dr, Longview, TX 75605-2410 |
| Christina C Moulds-merritt | General Surgery | Associated Clinicians of East Texas | 707 Hollybrook Dr, Longview, TX 75605-2410 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianne J Anders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Cody R Hopson | Chiropractic | 2901 Judson Rd, Longview, TX 75605-1803 | |
| Leslie A Sanders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Joseph H Anders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Brenton Robinson | Nurse Practitioner | Procedural Office Operation Professionals LLC | 2828 Bill Owens Pkwy A, Longview, TX 75605-2102 |
| Gregory K Wacasey | Optometry | 2834 Bill Owens Pkwy, Longview, TX 75605-2102 | |
| Edward C Ledbetter | Chiropractic | Procedural Office Operation Professionals LLC | 2828 Bill Owens Pkwy, Suite A, Longview, TX 75605-2102 |
| Candis R Mendoza | Chiropractic | 2706 Bill Owens Pkwy, Longview, TX 75605-2136 | |
| Alex J Smith | Internal Medicine | 2107 Courthouse Dr, Suite 103, Longview, TX 75605-2355 | |
| Anita R Scribner | Infectious Disease | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Find all physicians in zip 75605 | |||
| City | LONGVIEW |
| Zip Code | 75605 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | LONGVIEW + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Carl 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.