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Physician Compare National (NPI:1447340112)

HEALTHCARE PROVIDER: GARY PRICE MILLER MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1447340112
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3375690506
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100420000686
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name MILLER
Individual professional last name
Provider First Name GARY
Individual professional first name
Provider Middle Name PRICE
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1976
Individual professional's medical school graduation year
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1 INTERNAL MEDICINE
First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties INTERNAL MEDICINE
All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information

Line 1 Street Address 158 EXECUTIVE DR
Group Practice or individual's line 1 address
City DANVILLE
Group Practice or individual's city
State VA
Group Practice or individual's state
Zip Code 245414100
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 490075
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 SOVAH HEALTH DANVILLE
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 340030
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 DUKE UNIVERSITY HOSPITAL
Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment Y

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