John J Miller MD PS

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

JOHN J MILLER MD PS

Practice address

1220 Basich Blvd Ste B
Aberdeen, WA 98520-1070

Phone

(360) 537-7577

NPI assigned

Apr 12, 2007

Last updated

Mar 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miranda S Shoemaker

Title

Office Manager

Phone

(360) 537-7577

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John James Miller, MD

  • Neurology Physician
  • Aberdeen, WA
  • NPI 1770535023
  Medicare reassignment NPD

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1063636892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S BROADWAY ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985206211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 BASICH BLVD STE B",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201070",
            "telephone_number": "360-537-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J MILLER MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-537-7577"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "AB38331",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Jensen, DPT
• Cynthia Jean Jensen, MSW, MHP, CDP, RC
• Jessica Pierce, M.D., P.S.
• David C Jester, D.O.
• John Bausher MD PHD PS
• Antoine D Johnson, MD
• Brooklynne Johnson, AA
• Megan Elizabeth Johnson
• Stacey Johnson, BA
• Star Marie Johnson, SUDP

• Neurology Physician in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Neurology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.