Jessica Ann Miller (NPI# 1194130906, PAC ID# 7113200635) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1194130906 |
| PAC ID by PECOS | 7113200635 |
| Professional Enrollment ID | I20190702001920 |
| Full Name | Jessica Ann Miller |
| Organization Legal Name | WHIPPLE TREE EMERGENCY PHYSICIANS LLC |
| Address |
12825 Minnieville Rd Lake Ridge VA 22192-3601 |
| Phone Number | 7035239800 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8729218938 |
| Number of Group Practice Members | 56 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490113 | SENTARA NORTHERN VIRGINIA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12825 Minnieville Rd, Lake Ridge, VA 22192-3601 | 7035239800 | WHIPPLE TREE EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | WHIPPLE TREE EMERGENCY PHYSICIANS LLC |
| Physicians | 69 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Stephen Berniard | Emergency Medicine | Whipple Tree Emergency Physicians LLC | 1031 Loftis Blvd, Newport News, VA 23606-2981 |
| Lien B Nguyen | Emergency Medicine | Whipple Tree Emergency Physicians LLC | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 |
| Tairy Elaine Adams | Physician Assistant | Whipple Tree Emergency Physicians LLC | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 |
| Vyas Matt Ballal | Emergency Medicine | Whipple Tree Emergency Physicians LLC | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 |
| Yonathan Habtemariam | Emergency Medicine | Whipple Tree Emergency Physicians LLC | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 |
| Jennie L Drahushuk | Nurse Practitioner | Whipple Tree Emergency Physicians LLC | 1031 Loftis Blvd, Newport News, VA 23606-2981 |
| Gloria Denise Moore | Nurse Practitioner | Whipple Tree Emergency Physicians LLC | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 |
| John Verghese Abraham | Emergency Medicine | Whipple Tree Emergency Physicians LLC | 12825 Minnieville Rd, Lake Ridge, VA 22192-3601 |
| Miri Kim | Physician Assistant | Whipple Tree Emergency Physicians LLC | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 |
| Chinye S Obidi | Emergency Medicine | Whipple Tree Emergency Physicians LLC | 2300 Opitz Blvd, Woodbridge, VA 22191-3311 |
| Street Address |
12825 MINNIEVILLE RD |
| City | LAKE RIDGE |
| State | VA |
| Zip | 22192-3601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Verghese Abraham | Emergency Medicine | Whipple Tree Emergency Physicians LLC | 12825 Minnieville Rd, Lake Ridge, VA 22192-3601 |
| Ashley A Roth | Emergency Medicine | Whipple Tree Emergency Physicians LLC | 12825 Minnieville Rd, Lake Ridge, VA 22192-3601 |
| Maria Fischer | Certified Registered Nurse Anesthetist (crna) | Sheridan Anesthesia Services of Virginia Inc | 12825 Minnieville Rd, Suite 204, Woodbridge, VA 22192-3602 |
| Andrita Shah | Family Medicine | Sentara Medical Group | 12825 Minnieville Rd, Suite 202, Lake Ridge, VA 22192-3602 |
| Michael D Fitzpatrick | Family Medicine | Sentara Medical Group | 12825 Minnieville Rd, Suite 202, Lake Ridge, VA 22192-3602 |
| Akber Ahmad | Internal Medicine | Sentara Medical Group | 12825 Minnieville Rd, Suite 202, Lake Ridge, VA 22192-3602 |
| Bruce Alan Kaczmarek | Emergency Medicine | Whipple Tree Emergency Physicians LLC | 12825 Minnieville Rd, Lake Ridge, VA 22192-3601 |
| Long H Trinh | Anesthesiology | Sheridan Anesthesia Services of Virginia Inc | 12825 Minnieville Rd, Suite 204, Woodbridge, VA 22192-3602 |
| Dory D Jewelewicz | Anesthesiology | Sheridan Anesthesia Services of Virginia Inc | 12825 Minnieville Rd, Suite 204, Woodbridge, VA 22192-3602 |
| Lindsey Taylor Gateau | Physician Assistant | National Rehabilitation Hospital Inc | 12825 Minnieville Rd, Suite 201, Lake Ridge, VA 22192-3602 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter A Mendel | Family Medicine | Family Medicine of Lake Ridge PC | 3401 Commission Ct, Suite 201, Woodbridge, VA 22192-1771 |
| John James Wierzbicki | Family Medicine | Family Medicine of Lake Ridge PC | 3401 Commission Ct, Suite 201, Woodbridge, VA 22192-1771 |
| Julie D Oglesby | Nurse Practitioner | Family Medicine of Lake Ridge PC | 3401 Commission Ct, Suite 201, Woodbridge, VA 22192-1771 |
| Christian Lavenia | Nurse Practitioner | Rahel G. Yirga Md PC | 12185 Clipper Dr, Lake Ridge, VA 22192-2236 |
| Phuong Xuan Mai | Internal Medicine | 12191 Clipper Dr, Lake Ridge, VA 22192-2237 | |
| Oluwaseyi Bolaji Bolorunduro | Cardiovascular Disease (cardiology) | Nova Cardiovascular Care LLC Nvcc | 1990 Old Bridge Rd, Suite 201, Woodbridge, VA 22192-2383 |
| Amy Friedenthal | Internal Medicine | 12512 D Lake Ridge Dr, Woodbridge, VA 22192-2386 | |
| Abucar A Abdulle | Internal Medicine | 12761 Darby Brook Ct, Suite 101, Woodbridge, VA 22192-2405 | |
| Jaime L Parker | Clinical Social Worker | Woodbridge Therapy Group LLC | 12721 Darby Brook Ct, Suite 102, Woodbridge, VA 22192-2408 |
| Hemini P Naik | Psychologist, Clinical | Woodbridge Therapy Group LLC | 12721 Darby Brook Ct, Suite 102, Woodbridge, VA 22192-2408 |
| Find all physicians in zip 22192 | |||
| City | LAKE RIDGE |
| Zip Code | 22192 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LAKE RIDGE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Jessica Ann 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.