NPIMap

Individual provider Active NPI

John K Miller, MD

  • Family Medicine Physician
  • Wooster, OH
National Provider Identifier
1104910330
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35044809 Issued in OH
Practice address
128 E Milltown Rd
Suite 105
Wooster, OH 44691
Phone
(330) 345-8060
Fax
(330) 345-5983
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35044809 OH Primary

Addresses

Primary practice location

128 E Milltown Rd
Suite 105
Wooster, OH 44691

Mailing address

128 E Milltown Rd
Suite 105
Wooster, OH 44691
Phone (330) 345-8060

Other identifiers 3

IdentifierTypeStateIssuer
0431447MedicaidOH
2123062OtherMEDICAID GROUP
9304461OtherMEDICARE GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100316000569 OH Practitioner - Family Practice 7113063462 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milltown Family Physicians, Inc.Group PAC ID 5496891749, 8 clinicians

Practice addresses (Care Compare)

128 E Milltown Rd
Suite 105
Wooster, OH 44691-1276
Phone (330) 345-8060

1739 Cleveland Rd
Wooster, OH 44691-2203
Phone 3302622500102

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35044809OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Milltown Family Physicians, Inc. Family Medicine CurrentSince Oct 1, 1999 Accepting new patients
Healthcare 2000 Community Clinic Inc CurrentSince Jul 30, 2023 Accepting new patients
Healthcare 2000 Community Clinic Inc CurrentSince Jul 30, 2023 Accepting new patients
Wayne County Auditor Past Accepting new patients

Locations

128 E Milltown Rd
Ste 105
Wooster, OH 44691
Phone (330) 345-8060

128 E Milltown Rd
Wooster, OH 44691
Phone (330) 253-2113

1739 Cleveland Rd
Wooster, OH 44691
Phone (330) 262-2500

1874 Cleveland Rd
Wooster, OH 44691
Phone (330) 262-2500

Interoperability endpoints

  • Direct secure messaging: johnmiller@mfpi.allscriptsdirect.net
  • Direct secure messaging: jmiller@violastartzmanclinic.medentdirect.com

Organizations & group practices 4

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 4

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1104910330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 E MILLTOWN RD",
            "address_2": "SUITE 105",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "44691",
            "telephone_number": "330-345-8060",
            "fax_number": "330-345-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E MILLTOWN RD",
            "address_2": "SUITE 105",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "44691",
            "telephone_number": "330-345-8060",
            "fax_number": "330-345-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOHN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35044809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0431447",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "2123062",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "9304461",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.