Norman D Miller, MD
Individual provider Active NPI Gastroenterology Physician · Havenhill, MA
NPI 1235136367 · NPPES record last updated Jul 3, 2023
Key facts
- NPI
- 1235136367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- 55638 (MA)
- Practice address
- 62 Brown Street,
Suite 503
Havenhill, MA 01830 - Phone
- (978) 521-3681
- Fax
- (978) 521-3682
- NPI assigned
- Jul 5, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Somc Medical Care Foundation, Inc.
Practice addresses (Care Compare)
1711 27TH St
Portsmouth, OH 45662-2654
Phone (740) 356-6828
Hospital & facility affiliations
- Southern Ohio Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 68 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 70 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170426001474 | OH | Practitioner - Gastroenterology | 7012981194 | Reassigns benefits to 1 organization |
| I20191111000786 | ME | Practitioner - Gastroenterology | 7012981194 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD23142 | ME | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Somc Medical Care Foundation, Inc. | Current |
Accepting new patients | |
| Redington-Fairview General Hospital | Current |
Accepting new patients | |
| Somc Medical Care Foundation, Inc. | Current |
Accepting new patients | |
| Redington-Fairview General Hospital | Current |
Accepting new patients | |
| Newburyport Gastroenterology LLC | Gastroenterology | Current | Accepting new patients |
| Seacoast Gastroenterology | Gastroenterology | Past | Accepting new patients |
| Haverhill Gi Inc | Gastroenterology | Past | Accepting new patients |
| Seacoast Affiliated Group Practice, Inc. | Past | Accepting new patients | |
| River Valley Infectious Disease Specialists Inc. | Past | Accepting new patients | |
| Parkland Physician Services, Inc. | Past | Accepting new patients |
Locations
255 Low St
Ste 201
Newburyport, MA 01950
Phone (978) 465-4622
46 Fairview Ave
Ste 221
Skowhegan, ME 04976
Phone (207) 474-6945
46 Fairview Ave
Skowhegan, ME 04976
Phone 2074745121293
1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942
1711 27th St
Ste 403
Portsmouth, OH 45662
Phone (740) 353-7881
1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000
1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD23142 | ME | |
| Gastroenterology Physician | 207RG0100X | 8574 | NH | |
| Gastroenterology Physician | 207RG0100X | 55638 | MA | Yes |
Addresses
Primary practice location
62 Brown Street,
Suite 503
Havenhill, MA 01830
Mailing address
62 Brown Street,
Suite 503
Havenhill, MA 01830
Phone (978) 521-3681
Other practice location 1
46 Fairview Ave Ste 221
Skowhegan, ME 04976-1481
Phone (207) 474-6945
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235136367 | Medicaid | ME | |
| 3027520 | Medicaid | MA |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.