David Joseph Miner
Internal Medicine

Address: 85 Church Street, Middletown, CT 06457-3647
Phone: 8603448606

David Joseph Miner (NPI# 1225125933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1225125933
Entity Type Individual
Full Name David Joseph Miner
Credential MD
Gender Male
Practice Address 85 Church Street
Middletown
CT 06457-3647
Practice Telephone 8603448606
Practice Fax Number 8603448963
Mailing Address 2200 North Mayfair Road
Suite 200
Wauwatosa
WI 53226-2252
Mailing Telephone 4147277126
Mailing Fax Number 4146073948
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2006-10-06
Last Update Date 2010-01-05

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 026312 CT
No 207RN0300X Internal Medicine · Nephrology Allopathic & Osteopathic Physicians 026312 CT

Other Provider Identifier

State Identifier Issuer Type Code
CT 4064721 MEDICAID
CT 026312 OTHER STATE LICENSE

Other Providers DAVID MINER

NPI Name Taxonomy Address Enumeration
1982747135 David Phillip Miner Dentist 6936 Sylvester St, Philadelphia, PA 19149-1821 2007-02-15
1649294919 David Joseph Miner Chiropractor 16320 Tishatang Rd, Lower Lake, CA 95457-0815 2006-07-27
1992298178 David Miner Jr. Pharmacist 55 Oak St, Glastonbury, CT 06033-2315 2018-06-12
1851785802 David Miner Counselor 460 Brielle Ave, Staten Island, NY 10314-6427 2015-03-26
1811000607 David B Miner Family Medicine 3845 W 4700 S, Taylorsville, UT 84118-3454 2006-08-16
1700806882 David Weston Miner Obstetrics & Gynecology 829 N Center Ave, Suite 200, Gaylord, MI 49735-1595 2006-07-20
1053360792 David Scott Miner Emergency Medicine 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 2006-05-09
1881661569 David D Miner Obstetrics & Gynecology 114 Charlois Blvd, Winston Salem, NC 27103-1522 2006-03-02

Physician Overview

NPI 1225125933
PAC ID by PECOS 4587764162
Professional Enrollment ID I20070711000811
Full Name David J Miner
Phone Number 8603448606
Gender M
Medical School ST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year 1980
Primary Specialty INTERNAL MEDICINE
Secondary Specialties NEPHROLOGY
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
070020 MIDDLESEX HOSPITAL

Office Location

Street Address 85 CHURCH STREET
City MIDDLETOWN
State CT
Zip Code 06457-3647

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417062357 Robert Elton Fales Jr. Internal Medicine 85 Church Street, Middletown, CT 06457 2006-08-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184101263 Tabrez Adil Dentist 675 Main St., Middletown, CT 06457 2018-07-23
1326535337 Rehan Khan Non-emergency Medical Transport (VAN) 765 Country Club Rd, Middletown, CT 06457 2018-04-16
1366950206 State of Connecticut Psychiatric Hospital 70 O'brien Drive, Middletown, CT 06457 2018-01-12
1902324536 Cynthia Tine Physical Therapy Assistant 628 Congdon Street, Middletown, CT 06457 2017-09-04
1619494390 Nathan Douglas Roy Specialist/Technologist 431 Briarwood Lane, Middletown, CT 06457 2017-08-24
1598286502 Rachel Hoffman Whelen Nurse Practitioner 420 Saybrook Road, Suite A, Middletown, CT 06457 2017-06-29
1003358326 Rebecca Rotondo Social Worker 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 2016-11-17
1265880116 Cynthia Holley Pharmacist 855 Washington St., Middletown, CT 06457 2016-06-01
1326419656 Susan Berthiaume Counselor 20 Tuttle Rd, Middletown, CT 06457 2015-10-13
1386015907 Jessica Lynn Smith Social Worker 20 Tuttle Rd., Middletown, CT 06457 2015-10-08
Find all providers in zip 06457

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205102654 Christine Egan Metzing Internal Medicine 413 Meadow Lane, Middletown, DE 19709 2012-03-30
1295021962 Amna Iqbal Internal Medicine 8211 Town Brooke, Middletown, CT 06457-6621 2011-06-21
1417248543 Vital Signs Medical Associates Pllc Internal Medicine 450 E Main St Ste 4, Middletown, NY 10940-2578 2011-04-23
1811217714 Minhui Xie Internal Medicine 197 Monhagen Ave, Middletown, NY 10940-6020 2010-06-03
1023260767 William Ray Lynch Jr. Internal Medicine 212 Abbotsford Dr, Middletown, DE 19709-9459 2008-10-14
1265691364 Himad Ullah Khan Khattak Internal Medicine 103 Mcknight Dr Ste A, Middletown, OH 45044-4891 2008-06-03
1407044860 Joseph A Solomito Md and Assoc Internal Medicine 1030 Summitt Sq, Middletown, OH 45042-3400 2007-10-11
1437364387 Nkeiruka Eucharia Okoye Internal Medicine 501 Atrium Dr, Suite 100, Middletown, OH 45005 2007-05-14
1487874236 Thomas R Firor Internal Medicine 4222 Grand Ave, Middletown, OH 45044-6129 2007-04-26
1619190956 Richard Ira Cantor Internal Medicine 680 Route 211 E, Ste 3b-187, Middletown, NY 10941-1757 2007-04-11
Find all providers in MIDDLETOWN

Competitor

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City MIDDLETOWN
Zip Code 06457

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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