MELISSA ROSE MILLER MD NPI 1235108366

NPI Information

NPI: 1235108366
Provider Name: MELISSA ROSE MILLER, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1000 E 1ST ST
SUITE LL
DULUTH, MN
ZIP 55805
Phone: (218) 722-5629
Get Directions

Melissa Rose Miller, MD is an obstetrics gynecology in Duluth, MN. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Melissa Rose Miller, MD NPI is 1235108366. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1000 E 1ST ST
SUITE LL
DULUTH, MN
ZIP 55805-297
Phone: (218) 722-5629
Fax: (218) 722-5148

The NPI 1235108366 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/14/2006 and was last updated on 2/6/2017.

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	174400000X	Specialist		45865	MINNESOTA	No
2	207V00000X	Obstetrics & Gynecology		45865	MINNESOTA	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	A015	OTHER		TRICARE
2	0884324000	MEDICAID	MAINE
3	1035227	OTHER		PREFFERRED ONE
4	104K8ST	OTHER		BLUE CROSS OF MN
5	171885	OTHER		UCARE
6	HP39516	OTHER		HEALTH PARTNERS
7	H92417	MEDICARE UPIN
8	0703528	OTHER		MEDICA
9	34426900	MEDICAID	WISCONSIN

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: 4/28/2024

NPI Synchronization or Removal

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