Active NPI
Von L Miller, PA-C
- Medical Physician Assistant
- West Des Moines, IA
National Provider Identifier
1235251034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 001404
- Practice address
- 6000 University Ave Lakeview Medical Park
Suite 124
West Des Moines, IA 50266 - Phone
- (515) 241-2020
- Fax
- (515) 241-2040
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 001404 | IA | Primary |
Addresses
Primary practice location
6000 University Ave Lakeview Medical Park
Suite 124
West Des Moines, IA 50266
Mailing address
8618 SE 6TH Ave
Runnells, IA 50237-2178
Phone (515) 250-8935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LMMC Council Bluffs LLLP | Past | Accepting new patients | |
| Unitypoint Health-DM | Past | Accepting new patients |
Interoperability endpoints
- von.miller.1@14940.direct.athenahealth.com
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.
-
- General Practice Physician
- Council Bluffs, IA
- NPI 1861951568
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1568916237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1235251034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8618 SE 6TH AVE",
"city": "RUNNELLS",
"state": "IA",
"postal_code": "502372178",
"telephone_number": "515-250-8935",
"fax_number": "515-241-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 UNIVERSITY AVE LAKEVIEW MEDICAL PARK",
"address_2": "SUITE 124",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "50266",
"telephone_number": "515-241-2020",
"fax_number": "515-241-2040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "VON",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IA",
"license": "001404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.