DR. JAMES R MILLER M.D. NPI 1215936737

NPI Information

NPI: 1215936737
Provider Name: DR. JAMES R MILLER, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
1753 FULTON ST
ELKHART, IN
ZIP 46514
Phone: (574) 389-9881
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DR. James R Miller, M.D. is a general practice in Elkhart, IN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. James R Miller, M.D. NPI is 1215936737. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1753 FULTON ST
ELKHART, IN
ZIP 46514-927
Phone: (574) 389-9881
Fax: (574) 389-9884

The enumeration date for this NPI number is 7/18/2005 and was last updated on 6/20/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		01018808A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100111270A	MEDICAID	INDIANA
2	184640AA	MEDICARE PIN	INDIANA
3	000000109323	OTHER	INDIANA	ANTHEM BCBS #
4	000000545669	OTHER	INDIANA	ANTHEM BCBS
5	139700H	MEDICARE PIN	INDIANA
6	000000551983	OTHER	INDIANA	ANTHEM, BCBS FMC
7	D69490	MEDICARE UPIN
8	100111270	MEDICAID	INDIANA
9	M400044264	MEDICARE PIN	INDIANA
10	080162536 RR MED #	MEDICARE PIN	INDIANA
11	M400017386	MEDICARE PIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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