Individual provider Active NPI

Christina M. Miller, M.D.

  • Pediatrics Physician
  • Albany, OR
National Provider Identifier
1053506758
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD27741 Issued in OR
Practice address
1123 Hill St SE Ste B
Albany, OR 97322-3292
Phone
(541) 207-7431
Fax
(541) 644-5071
NPI assigned
Sep 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD27741 OR Primary

Addresses

Primary practice location

1123 Hill St SE Ste B
Albany, OR 97322-3292

Mailing address

1123 Hill St SE Ste B
Albany, OR 97322-3292
Phone (541) 207-7431

Other practice location 1

675 N 5th St
Lebanon, OR 97355-2875
Phone (541) 451-6282

Other practice location 2

675 N 5th St
Lebanon, OR 97355-2875
Phone (541) 451-6282

Other names 1

  • Christina M. Miller Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Willamette Valley Pediatrics Pediatrics Current Accepting new patients
Firstcare Medical Foundation Pediatrics Past Accepting new patients

Locations

1123 Hill St SE
Ste B
Albany, OR 97322
Phone (541) 207-7431

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1053506758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 HILL ST SE STE B",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973223292",
            "telephone_number": "541-207-7431",
            "fax_number": "541-644-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 HILL ST SE STE B",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973223292",
            "telephone_number": "541-207-7431",
            "fax_number": "541-644-5071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 N 5th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973552875",
            "country_code": "US",
            "telephone_number": "541-451-6282",
            "fax_number": "541-451-6414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "675 N 5th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973552875",
            "country_code": "US",
            "telephone_number": "541-451-6282",
            "fax_number": "541-451-6414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CHRISTINA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD27741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "MILLER",
            "middle_name": "M.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.