Dr Randall S Miller, MD | |
2370 W Horizon Ridge Pkwy, Suite 100, Henderson, NV 89052-5077 | |
(702) 897-3800 | |
(702) 897-3801 |
Full Name | Dr Randall S Miller |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 2370 W Horizon Ridge Pkwy, Henderson, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184678336 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 9270 (Nevada) | Primary |
208000000X | Pediatrics | 9270 (Nevada) | Secondary |
207Q00000X | Family Medicine | 9720 (Nevada) | Secondary |
Entity Name | Shadow Emergency Physicians Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184795874 PECOS PAC ID: 2860667375 Enrollment ID: O20111212000888 |
Mailing Address | Practice Location Address |
---|---|
Dr Randall S Miller, MD 2838 Bellini Dr, Henderson, NV 89052-3119 Ph: (702) 813-4974 | Dr Randall S Miller, MD 2370 W Horizon Ridge Pkwy, Suite 100, Henderson, NV 89052-5077 Ph: (702) 897-3800 |
Tim Kuo, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Saint Rose Pkwy, Henderson, NV 89052 Phone: 702-616-6102 | |
Steven Matthew Savage, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1250 American Pacific Dr Apt 1624, Henderson, NV 89074 Phone: 661-609-6431 | |
Dr. Jaime Jessica Primerano, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2380 W Horizon Ridge Pkwy, Suite 110, Henderson, NV 89052 Phone: 702-823-4255 Fax: 702-475-3261 | |
Dr. Julie Ann Rivas, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2380 W Horizon Ridge Pkwy, Suite 110, Henderson, NV 89052 Phone: 702-823-4255 | |
James Hayes, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Saint Rose Pkwy, Henderson, NV 89052 Phone: 330-493-4443 Fax: 330-493-8677 | |
Randall K. Bess, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Saint Rose Pkwy, Henderson, NV 89052 Phone: 702-616-5000 | |
Roger Martinez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 E Lake Mead Pkwy, Henderson, NV 89015 Phone: 330-493-4443 Fax: 330-493-8677 |