Individual provider Active NPI

Joanne M Miller, M.D.

  • Emergency Medicine Physician
  • Davenport, IA
National Provider Identifier
1093777518
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
30804 Issued in IA
Practice address
1351 W Central Park Ave Ste 1225
Davenport, IA 52804-1889
Phone
(563) 421-1585
Fax
(563) 421-1595
NPI assigned
Apr 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 30804 IA Primary

Addresses

Primary practice location

1351 W Central Park Ave Ste 1225
Davenport, IA 52804-1889

Mailing address

1935 E 47TH PL
Davenport, IA 52807-1268
Phone (563) 349-7829

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL millerj@genesishealh.com Direct
Direct Messaging Address millerj@genesishealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100611000510 IA Practitioner - Family PracticePractitioner - Emergency Medicine 1254461593 Reassigns benefits to 4 organizations
I20140417000467 IL Practitioner - Family PracticePractitioner - Other (Physician) 1254461593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 7214841436, shared by 11 NPIs, 217 clinicians

Practice addresses (Care Compare)

1227 E Rusholme St
Davenport, IA 52803-2459

1401 W Central Park Ave
Mercyone Genesis Davenport West Med
Davenport, IA 52804-1707
Phone (563) 421-2120

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1102
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30804IAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Public Hospital CurrentSince Jul 18, 2015 Accepting new patients
Jackson County Public Hospital CurrentSince Jul 18, 2015 Accepting new patients
Genesis Health System CurrentSince Jan 26, 2014 Accepting new patients

Locations

2535 Maplecrest Rd
Ste 10
Bettendorf, IA 52722
Phone (319) 344-3500

1351 W Central Park Ave
Ste 1225
Davenport, IA 52804
Phone (563) 421-1585

1351 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900

1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900

1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287

1118 11th St
De Witt, IA 52742
Phone (563) 242-7522

601 Hospital Dr
Maquoketa, IA 52060
Phone (563) 652-2474

3900 28th Avenue Dr
Ste 115
Moline, IL 61265
Phone (309) 281-2220

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1093777518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 E 47TH PL",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528071268",
            "telephone_number": "563-349-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 W CENTRAL PARK AVE STE 1225",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528041889",
            "telephone_number": "563-421-1585",
            "fax_number": "563-421-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOANNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "30804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "millerj@genesishealh.com",
            "affiliation": "N",
            "endpointDescription": "genesis health system direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1351 W Central Park Ave",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528041853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "millerj@genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "genesis health system direct email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1351 W Central Park Ave",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528041853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.