Active NPI
Stanley H Miller, D.O.
- Preventive Medicine/Occupational Environmental Medicine Physician
- Freeport, TX
National Provider Identifier
1083926752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 5101010319
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5101010319 | MI | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
| P1200 | TX | MD | Physician 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.