Active NPI
Scott Edward Miller, MD
- Cardiovascular Disease Physician
- Charleston, WV
National Provider Identifier
1043289242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 15119
- Practice address
- 3100 Maccorkle Ave SE
Suite 610
Charleston, WV 25304 - Phone
- (304) 346-1141
- Fax
- (304) 346-7935
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 15119 | WV | Primary |
Addresses
Primary practice location
3100 Maccorkle Ave SE
Suite 610
Charleston, WV 25304
Mailing address
3100 Maccorkle Ave SE
Suite 610
Charleston, WV 25304
Phone (304) 346-1141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0041301000 | Medicaid | WV |
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
- Credentials
- Doctor of Medicine
Interoperability endpoints
- scott.miller@upmcdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426809600000",
"number": "1043289242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 MACCORKLE AVE SE",
"address_2": "SUITE 610",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25304",
"telephone_number": "304-346-1141",
"fax_number": "304-346-7935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 MACCORKLE AVE SE",
"address_2": "SUITE 610",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25304",
"telephone_number": "304-346-1141",
"fax_number": "304-346-7935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SCOTT",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2015-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WV",
"license": "15119",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0041301000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.