Active NPI
Marc L Miller, DO
- Surgery Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2001014935
- Practice address
- 115 Business Loop 70 W
Columbia, MO 65203-3244 - Phone
- (573) 882-8454
- Fax
- (573) 884-6054
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2001014935 | MO | Primary |
Addresses
Primary practice location
115 Business Loop 70 W
Columbia, MO 65203-3244
Mailing address
PO Box 7687
Columbia, MO 65205-7687
Phone (573) 882-2259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00415656 | Other | MO | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 Pennsylvania Ave
Suite 411
Des Moines, IA 50316-2367
Phone (515) 263-5434
1301 W Main St
Lake City, IA 51449-1585
Phone (712) 464-3171
Hospital & facility affiliations
- Unitypoint Health - Des Moines Iowa Methodist Medi
- St Anthony Regional Hospital & Nursing Home
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 16 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 20 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Stewart Memorial Community Hospital | Current | Accepting new patients | |
| St Anthony Regional Hospital and Nursing Home | Current | Accepting new patients | |
| Stewart Memorial Community Hospital | Current | Accepting new patients | |
| Stewart Memorial Community Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Surgery | Current | Accepting new patients |
| Wellendorf ENT, P.C. | Past | Accepting new patients | |
| Central Iowa Hospital Corporation | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
311 S Clark St
Ste 280
Carroll, IA 51401
Phone (712) 220-7069
405 S Clark St
Ste 215
Carroll, IA 51401
Phone (712) 792-0480
405 S Clark St
Ste 100
Carroll, IA 51401
Phone (712) 792-1500
311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581
100 Medical Pkwy
Denison, IA 51442
Phone (712) 265-2500
100 Medical Pkwy
Ste A
Denison, IA 51442
Phone (712) 263-5021
1301 Pennsylvania Ave
Ste 411
Des Moines, IA 50316
Phone (515) 263-9107
804 Kenyon Rd
Ste 201
Fort Dodge, IA 50501
Phone (515) 574-6865
710 N 12th St
Guthrie Ctr, IA 50115
Phone (641) 332-2201
1301 W Main St
Lake City, IA 51449
Phone (712) 464-3171
800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184
211 Highland Ave
Sac City, IA 50583
Phone (712) 662-7105
1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907
6600 Westown Pkwy
Ste 220
West Des Moines, IA 50266
Phone (515) 241-2250
1776 Westlakes Pkwy
Ste 400
West Des Moines, IA 50266
Phone (515) 241-6161
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.236
- mmiller167767@direct.unitypoint.org
Organizations & group practices 8
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.
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Surgery
-
- Rural Health Clinic/Center
- Lake City, IA
- NPI 1285652909
-
- Critical Access Hospital
- Carroll, IA
- NPI 1720067127
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Emergency Medicine Physician
- Lake City, IA
- NPI 1740321652
-
- Certified Registered Nurse Anesthetist
- Lake City, IA
- NPI 1831230747
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1356433049
-
- Otolaryngology Physician
- Carroll, IA
- NPI 1740494244
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1356433049
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1396837951
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1598905762
-
- Critical Access Hospital
- Carroll, IA
- NPI 1720067127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205971200000",
"number": "1023061413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7687",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652057687",
"telephone_number": "573-882-2259",
"fax_number": "573-884-8526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 BUSINESS LOOP 70 W",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652033244",
"telephone_number": "573-882-8454",
"fax_number": "573-884-6054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MARC",
"middle_name": "L",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2008-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2001014935",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00415656",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.