Organization Active NPI

George E. Miller

  • Surgery Physician
  • Edgewood, KY
National Provider Identifier
1124355219
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
17684 Issued in KY
Legal business name
GEORGE E. MILLER
Practice address
20 Medical Village Dr
Suite 338
Edgewood, KY 41017-5401
Phone
(859) 341-5035
Fax
(859) 341-9080
NPI assigned
Nov 10, 2009
Organization subpart
Yes
Parent organization
CRANLEY SURGICAL ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Authorized official

Name
Connie Knoebel
Title
Billing Manager
Phone
(513) 961-4335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 17684 KY Primary

Addresses

Primary practice location

20 Medical Village Dr
Suite 338
Edgewood, KY 41017-5401

Mailing address

3747 W Fork Rd
Cincinnati, OH 45247-7548
Phone (513) 961-4335

Other identifiers 2

IdentifierTypeStateIssuer
64-176845MedicaidKY
C69638OtherKYUPIN

National Provider Directory

National Provider Directory
Part of
Cranley Surgical Associates

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1124355219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 W FORK RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477548",
            "telephone_number": "513-961-4335",
            "fax_number": "513-961-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MEDICAL VILLAGE DR",
            "address_2": "SUITE 338",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410175401",
            "telephone_number": "859-341-5035",
            "fax_number": "859-341-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE E. MILLER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRANLEY SURGICAL ASSOCIATES",
        "enumeration_date": "2009-11-10",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "KNOEBEL",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "513-961-4335"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "KY",
            "license": "17684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64-176845",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "C69638",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.