NPIMap

Individual provider Active NPI

Craig Allan Miller, DO

  • Family Medicine Physician
  • Ormond Beach, FL
National Provider Identifier
1043291495
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS7698 Issued in FL
Practice address
1400 Hand Ave
Suite K
Ormond Beach, FL 32174-8194
Phone
(386) 673-0517
Fax
(386) 671-2771
NPI assigned
Nov 10, 2005
Last updated
Nov 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS7698 FL Primary

Addresses

Primary practice location

1400 Hand Ave
Suite K
Ormond Beach, FL 32174-8194

Mailing address

1400 Hand Ave
Suite K
Ormond Beach, FL 32174-8194
Phone (386) 673-0517

Other identifiers 1

IdentifierTypeStateIssuer
260025100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040726001148 FL Practitioner - Family Practice 8820068125 Reassigns benefits to 1 organization
I20240514003420 CA Practitioner - Family Practice 8820068125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

970 Embarcadero del Mar
Isla Vista, CA 93117-4869
Phone (805) 968-1511

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue26
Removal or shaving of skin growth12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18527CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara Neighborhood Clinics Current Accepting new patients
Ormond Medical Arts Family Practice LLC Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Santa Barbara Neighborhood Clinics CurrentSince Apr 1, 2024 Accepting new patients
Santa Barbara Neighborhood Clinics CurrentSince Apr 1, 2024 Accepting new patients
Memorial Health Systems Inc Past Accepting new patients
Community Memorial Health System Past Accepting new patients
Santa Barbara Neighborhood Clinics Past Accepting new patients
Halifax Healthcare Systems Inc Family Medicine Past Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Vera Endocrine Associates Inc Past Accepting new patients
Shorecoast ER SVCS Partnership LLC Past Accepting new patients
Santa Barbara Neighborhood Clinics Past Accepting new patients

Locations

970 Embarcadero del Mar
Isla Vista, CA 93117
Phone (805) 968-1511

414 E Cota St
Fl 1
Santa Barbara, CA 93101
Phone (805) 617-7863

628 W Micheltorena St
Santa Barbara, CA 93101
Phone (805) 963-1546

915 N Milpas St
Santa Barbara, CA 93103
Phone (805) 963-1641

77 W Granada Blvd
Ormond Beach, FL 32174
Phone (386) 677-0453

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1579/brand/8/csg/141/fhir/r4

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1043291495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HAND AVE",
            "address_2": "SUITE K",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748194",
            "telephone_number": "386-673-0517",
            "fax_number": "386-671-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HAND AVE",
            "address_2": "SUITE K",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748194",
            "telephone_number": "386-673-0517",
            "fax_number": "386-671-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CRAIG",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260025100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.