Active NPI
George E. Miller
- Surgery Physician
- Edgewood, KY
National Provider Identifier
1124355219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 17684
- 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 ASSOCIATES
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64-176845 | Medicaid | KY | |
| C69638 | Other | KY | UPIN |
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.
-
- Surgery Physician
- Edgewood, KY
- NPI 1073589370
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.