Individual provider Active NPI

Thomas Stuart Miller, DPM

  • Foot & Ankle Surgery Podiatrist
  • Beaufort, SC
National Provider Identifier
1043223837
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
60 Issued in SC
Practice address
1084 Ribaut Rd
Beaufort, SC 29902-5494
Phone
(843) 524-0232
Fax
(843) 524-3323
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 60 SC Primary

Addresses

Primary practice location

1084 Ribaut Rd
Beaufort, SC 29902-5494

Mailing address

1084 Ribaut Rd
Beaufort, SC 29902-5494
Phone (843) 524-0232

Other identifiers 2

IdentifierTypeStateIssuer
570740956OtherMOST INS CO: TAX ID
PD0608MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Associates PA Low Country Foot & Ankle Institute Inc Foot & Ankle Surgery PastSince Aug 1, 2019 Accepting new patients
Podiatry Associates PA Low Country Foot & Ankle Institute Inc Foot & Ankle Surgery PastSince Aug 27, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1043223837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025494",
            "telephone_number": "843-524-0232",
            "fax_number": "843-524-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 RIBAUT RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025494",
            "telephone_number": "843-524-0232",
            "fax_number": "843-524-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "THOMAS",
        "middle_name": "STUART",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "60",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOST INS CO: TAX ID",
            "identifier": "570740956",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD0608",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.