Roy W Miner Jr. (NPI# 1295937654, PAC ID# 7719076637) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1295937654 |
| PAC ID by PECOS | 7719076637 |
| Professional Enrollment ID | I20071130000014 |
| Full Name | Roy W Miner Jr. |
| Organization Legal Name | JEFFERSON LAKE EMERGENCY PHYSICIANS LLC |
| Address |
1373 E Sr Suite 62 Madison IN 47250-7328 |
| Phone Number | 8128010800 |
| Gender | M |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5294962403 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150069 | KING'S DAUGHTERS' HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1373 E Sr, Suite 62, Madison, IN 47250-7328 | 8128010800 | JEFFERSON LAKE EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | JEFFERSON LAKE EMERGENCY PHYSICIANS LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason M Nelson | Emergency Medicine | Jefferson Lake Emergency Physicians LLC | 1373 E Sr, Suite 62, Madison, IN 47250-7328 |
| Gabriel Borisuk | Nurse Practitioner | Jefferson Lake Emergency Physicians LLC | 1373 E Sr, Suite 62, Madison, IN 47250-7328 |
| Joseph A Ramsey | Emergency Medicine | Jefferson Lake Emergency Physicians LLC | 1373 E Sr, Suite 62, Madison, IN 47250-7328 |
| Sherif M Shamaa | Internal Medicine | Jefferson Lake Emergency Physicians LLC | 1373 E Sr, Suite 62, Madison, IN 47250-7328 |
| Jamie D Coots | Family Medicine | Jefferson Lake Emergency Physicians LLC | 1373 E Sr, Suite 62, Madison, IN 47250-7328 |
| Melissa K Meyer | Nurse Practitioner | Jefferson Lake Emergency Physicians LLC | 1373 E Sr, Suite 62, Madison, IN 47250-7328 |
| Street Address |
1373 E SR SUITE 62 |
| City | MADISON |
| State | IN |
| Zip | 47250-7328 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mandy C Wilson | Nurse Practitioner | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 1373 E Sr, Suite 62, Madison, IN 47250-7328 |
| Jamie Baker | Nurse Practitioner | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 1373 E Sr, Suite 62, Madison, IN 47250-7328 |
| Jason M Nelson | Emergency Medicine | Jefferson Lake Emergency Physicians LLC | 1373 E Sr, Suite 62, Madison, IN 47250-7328 |
| Stephen H Castleman | Anesthesiology | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 1373 E Sr, Suite 62, Madison, IN 47250-7328 |
| David L Schumacher | General Surgery | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 1373 E Sr, Suite 62, Madison, IN 47250-7328 |
| Denise Moore | Nurse Practitioner | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 1373 E Sr, Suite 62, Madison, IN 47250-7328 |
| Jennifer G Nay | Nurse Practitioner | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 1373 E Sr, Suite 62, Madison, IN 47250-7328 |
| Brent J Sinicrope | Orthopedic Surgery | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 1373 E Sr, Suite 62, Madison, IN 47250-7328 |
| Lisa Christine Blevens | Nurse Practitioner | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 1373 E Sr, Suite 62, Madison, IN 47250-7328 |
| James B Sweatt | Certified Registered Nurse Anesthetist (crna) | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 1373 E Sr, Suite 62, Madison, IN 47250-7328 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline Marie Overpeck | Physical Therapy | 219 Clifty Dr, Madison, IN 47250-1603 | |
| Cassandra A Meyer | Nurse Practitioner | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 445 Clifty Dr, Madison, IN 47250-1607 |
| Kimberly E Hall | Nurse Practitioner | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 445 Clifty Dr, Madison, IN 47250-1607 |
| Kevin P Downes | Family Medicine | The Bethany Circle of Kings Daughters of Madison Indiana Inc | 445 Clifty Dr, Madison, IN 47250-1607 |
| Joshua Scott | Nurse Practitioner | W Kevin Britt M.d. LLC | 1801 Clifty Dr, Madison, IN 47250-1627 |
| Tina Goodin | Nurse Practitioner | W Kevin Britt M.d. LLC | 1801 Clifty Dr, Madison, IN 47250-1627 |
| Walter K Britt | Family Medicine | W Kevin Britt M.d. LLC | 1801 Clifty Dr, Madison, IN 47250-1627 |
| Brandy J Smith | Nurse Practitioner | W Kevin Britt M.d. LLC | 1801 Clifty Dr, Madison, IN 47250-1627 |
| Mallory Wilson | Physician Assistant | W Kevin Britt M.d. LLC | 1801 Clifty Dr, Madison, IN 47250-1627 |
| Eric J Berseth | Chiropractic | 2432 Clifty Dr, Madison, IN 47250-1636 | |
| Find all physicians in zip 47250 | |||
| City | MADISON |
| Zip Code | 47250 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MADISON + FAMILY MEDICINE |
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| 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.