Individual provider Active NPI

Stanley H Miller, D.O.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Freeport, TX
National Provider Identifier
1083926752
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
5101010319 Issued in MI
Practice address
2301 N Brazosport Blvd # B-101
Dow Chemical Health Services
Freeport, TX 77541-3203
Phone
(979) 238-1110
Fax
(979) 238-0479
NPI assigned
Jul 9, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 5101010319 MI Primary
Physician Office Based Coding Specialist 246YC3302X P1200 TX

Addresses

Primary practice location

2301 N Brazosport Blvd # B-101
Dow Chemical Health Services
Freeport, TX 77541-3203

Mailing address

Corp Medical Director, American Airlines/Premise Health
4501 Crewmember Way, F 103 - the Clinic Skyview 5
Ft Worth, TX 76155-3203
Phone (248) 520-4623

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)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101010319MIMDPreventive Medicine/Occupational Environmental Medicine Physician
P1200TXMDPhysician Office Based Coding Specialist

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1083926752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CORP MEDICAL DIRECTOR, AMERICAN AIRLINES/PREMISE HEALTH",
            "address_2": "4501 CREWMEMBER WAY, F 103 - THE CLINIC SKYVIEW 5",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761553203",
            "telephone_number": "248-520-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N BRAZOSPORT BLVD # B-101",
            "address_2": "DOW CHEMICAL HEALTH SERVICES",
            "city": "FREEPORT",
            "state": "TX",
            "postal_code": "775413203",
            "telephone_number": "979-238-1110",
            "fax_number": "979-238-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STANLEY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MI",
            "license": "5101010319",
            "primary": true
        },
        {
            "code": "246YC3302X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Health Information, Coding Specialist, Physician Office Based",
            "state": "TX",
            "license": "P1200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.