Active NPI
Gena Teutsch Miller, MD
- Endocrinology, Diabetes & Metabolism Physician
- Wausau, WI
National Provider Identifier
1134448467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- E-14527
- Practice address
- 425 Pine Ridge Blvd Ste 220a
Wausau, WI 54401-4123 - Phone
- (715) 847-2070
- NPI assigned
- May 26, 2010
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R2391 | KY | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 69224 | WI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | R2391 | KY | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | E-14527 | AR | Primary |
Addresses
Primary practice location
425 Pine Ridge Blvd Ste 220a
Wausau, WI 54401-4123
Mailing address
PO Box 251420
Little Rock, AR 72225-1420
Phone (501) 686-8000
Other practice location 1
4301 W Markham St
Little Rock, AR 72205-7101
Phone (501) 686-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69224 | WI | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Internal Medicine | Current | Accepting new patients |
| University of Arkansas for Medical Sciences | Internal Medicine | Current | Accepting new patients |
Locations
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
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.
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1669534749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1134448467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 251420",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722251420",
"telephone_number": "501-686-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 PINE RIDGE BLVD STE 220A",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014123",
"telephone_number": "715-847-2070"
}
],
"practiceLocations": [
{
"address_1": "4301 W Markham St",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-686-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "GENA",
"middle_name": "TEUTSCH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-26",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "R2391",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "WI",
"license": "69224",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "KY",
"license": "R2391",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "AR",
"license": "E-14527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.