Individual provider Active NPI

John Kevin Miller, M.D.

  • Surgery Physician
  • Ashland, KY
National Provider Identifier
1063642205
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
46681 Issued in KY
Practice address
330 21St St
Ashland, KY 41101-7726
Phone
(833) 409-3747
NPI assigned
Jul 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35.094459 OH
Surgery Physician 208600000X 46681 KY Primary

Addresses

Primary practice location

330 21St St
Ashland, KY 41101-7726

Mailing address

330 21St St
Ashland, KY 41101-7726
Phone (606) 325-6493

Other identifiers 2

IdentifierTypeStateIssuer
2996638MedicaidOH
7100272220MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20091201000232 OH Practitioner - General Surgery 2062551237 Reassigns benefits to 3 organizations
I20140214000629 KY Practitioner - General Surgery 2062551237 Reassigns benefits to 1 organization
I20220601002858 FL Practitioner - General Surgery 2062551237 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46681KYMDSurgery Physician
TP510KYMDSurgery Physician
35.094459OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Dec 1, 2021 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Jan 1, 2014 Accepting new patients
Ohiohealth Corporation CurrentSince Dec 1, 2021 Accepting new patients
Miller Medical LLC Surgery Current Accepting new patients
Dryp Florida LLC Surgery CurrentSince Apr 8, 2025 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince May 10, 2014 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Jan 1, 2014 Accepting new patients

Locations

3411 Tamiami Trl N
Ste 204
Naples, FL 34103
Phone (239) 235-0802

330 21st St
Ashland, KY 41101
Phone (606) 325-4697

613 23rd St
Ste 440
Ashland, KY 41101
Phone (606) 329-2888

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

1242 Crescent Dr
Wheelersburg, OH 45694
Phone (740) 574-8441

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.

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1063642205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 21ST ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017726",
            "telephone_number": "606-325-6493",
            "fax_number": "606-324-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 21ST ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017726",
            "telephone_number": "833-409-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOHN",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.094459",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "46681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2996638",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100272220",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.