Active NPI
Terry W Miller, CRNA
- Certified Registered Nurse Anesthetist
- Joplin, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2006001065
- Practice address
- 1102 W 32ND St
Joplin, MO 64804 - Phone
- (417) 347-1078
- Fax
- (417) 347-1079
- NPI assigned
- May 24, 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2006001065 | MO | Primary |
Addresses
Primary practice location
1102 W 32ND St
Joplin, MO 64804
Mailing address
PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-1078
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00309835 | Other | RR MEDICARE | |
| 200369410A | Medicaid | KS | |
| 910527308 | Medicaid | MO | |
| 200075970A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, AR
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3344 N Futrall Dr
Fayetteville, AR 72703-4057
Phone (479) 582-7280
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Anesthesia Solutions of Arkansas, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gastro Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Physicians Anesthesia Group, P.a. | Past | Accepting new patients | |
| Mid-Valley Physician Association | Past | Accepting new patients | |
| Freeman Neosho Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Ambulatory Anesthesia Services of Missouri LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Knapp Medical Center | Past | Accepting new patients | |
| Joplin Ambulatory Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
3700 SE Dodson Rd
Ste 4
Bentonville, AR 72712
Phone (479) 308-4300
3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050
3344 N Futrall Dr
Fayetteville, AR 72703
Phone (479) 582-7213
405 N University Ave
Little Rock, AR 72205
Phone (501) 228-4445
603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000
609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711
Organizations & group practices 9
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.
-
- Certified Registered Nurse Anesthetist
- Little Rock, AR
- NPI 1366700890
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fayetteville, AR
- NPI 1174125876
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Joplin, MO
- NPI 1780831107
Nurse Anesthetist, Certified Registered
-
dba Freeman Neosho Anesthesiology
- Anesthesiology Physician
- Neosho, MO
- NPI 1164451746
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Joplin, MO
- NPI 1417281601
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Weslaco, TX
- NPI 1861488579
-
- Anesthesiologist Assistant
- Weslaco, TX
- NPI 1548348618
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1407890783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1043265101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3810",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648033810",
"telephone_number": "417-347-1078",
"fax_number": "417-347-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 W 32ND ST",
"city": "JOPLIN",
"state": "MO",
"postal_code": "64804",
"telephone_number": "417-347-1078",
"fax_number": "417-347-1079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "TERRY",
"middle_name": "W",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2006001065",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00309835",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200369410A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "910527308",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200075970A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.