Frederick Gerald Miner, PA-C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10005213 Issued in WA

Practice address

Gameday Mens Health - San Marcos
1340 Wonder World Dr, Suite 104
San Marcos, TX 78666

Phone

(737) 331-0301

Fax

(737) 932-6224

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

79.36 of 100Reported as group

Quality

75.71

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

79.36 of 100Reported as group

Quality

75.71

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

68.83 of 100Reported as group

Quality

63.33

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm

  • Public Health or Welfare Agency
  • Phoenix, AZ
  • NPI 1083643738
  NPD
• Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm

  • Public Health or Welfare Agency
  • Maricopa, AZ
  • NPI 1538043443
  NPD
• Simonmed Imaging Florida LLC

  • Diagnostic Radiology Physician
  • Poinciana, FL
  • NPI 1912577990
  NPD
• Smi Imaging LLC

  • Diagnostic Radiology Physician
  • Denver, CO
  • NPI 1881230829
  NPD
• Issaquah Obstetrics and Gynecology PLLC

  • Obstetrics & Gynecology Physician
  • Issaquah, WA
  • NPI 1073581807
  NPD (past)
• Overlake Medical Clinics, LLC

  • Specialist
  • Bellevue, WA
  • NPI 1801828421
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1376655829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044604",
            "telephone_number": "425-688-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GAMEDAY MENS HEALTH - SAN MARCOS",
            "address_2": "1340 WONDER WORLD DR, SUITE 104",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "78666",
            "telephone_number": "737-331-0301",
            "fax_number": "737-932-6224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 W University Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852813269",
            "country_code": "US",
            "telephone_number": "480-493-3444",
            "fax_number": "480-867-4464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 116th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980044604",
            "country_code": "US",
            "telephone_number": "425-688-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINER",
        "first_name": "FREDERICK",
        "middle_name": "GERALD",
        "name_prefix": "Mr.",
        "credential": "PA-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10005213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Miller
• Michelle E Miller, MD
• Rachel Melissa Miller, LPC
• Horace E Milligan, D.D.S.
• Barry Joseph Mills, M.D.
• Adriana Elena Miranda, CPHT
• Seyed Afshan Miri, D.D.S.
• Larry Duane Molenda, DDS
• Alexis Monique Molina, OTR/L
• Michele Monserrate, LSSP, LPA

• Physician Assistant in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.