Active NPI
Elizabeth Ann Miller, DO
- Emergency Medicine Physician
- Wyandotte, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5151014528
- Practice address
- 2333 Biddle Ave
Wyandotte, MI 48192-4668 - Phone
- (734) 246-8004
- NPI assigned
- Apr 17, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 5151014528 | MI | Primary |
Addresses
Primary practice location
2333 Biddle Ave
Wyandotte, MI 48192-4668
Mailing address
2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (734) 246-8004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231101002104 | NV | Practitioner - Emergency Medicine | 3577919265 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5151014528 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fremont Emergency Services Scherr LTD | Emergency Medicine | Current | Accepting new patients |
| Fremont Emergency Services Scherr LTD | Emergency Medicine | Current | Accepting new patients |
| Fremont Emergency Services Scherr LTD | Emergency Medicine | Current | Accepting new patients |
Locations
9075 Blue Diamond Rd
Las Vegas, NV 89178
Phone (702) 916-5000
3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000
3325 S Fort Apache Rd
Las Vegas, NV 89117
Phone (702) 962-0500
9300 W Sunset Rd
Las Vegas, NV 89148
Phone (702) 880-2100
3186 S Maryland Pkwy
Ste 410
Las Vegas, NV 89109
10770 Las Vegas Blvd S
Las Vegas, NV 89183
Phone (702) 916-9002
9860 W Skye Cyn Dr
Las Vegas, NV 89166
3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025
7207 Aliante Pkwy
North Las Vegas, NV 89084
Phone (702) 962-5100
Interoperability endpoints
- emiller653990@direct.hfhs.org
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1679550149
Emergency Medicine, NV
-
- Emergency Medicine Physician
- North Las Vegas, NV
- NPI 1316488141
Emergency Medicine
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1366429821
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1114547429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2333 BIDDLE AVE",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481924668",
"telephone_number": "734-246-8004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 BIDDLE AVE",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481924668",
"telephone_number": "734-246-8004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-17",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5151014528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyandotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.