Gregory A Miller, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

01030135 Issued in IN

Practice address

975 Young St
Nauvoo, IL 62354

Phone

(217) 440-3837

NPI assigned

Aug 10, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1295737237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "address_2": "975 YOUNG ST",
            "city": "NAUVOO",
            "state": "IL",
            "postal_code": "62354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 YOUNG ST",
            "city": "NAUVOO",
            "state": "IL",
            "postal_code": "62354",
            "telephone_number": "217-440-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GREGORY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01030135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200319870A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luann Haas
• Mattie Ann Haas, PHARMD
• Julie Herbstrith, PH.D.
• Ruth Kelly, PHD
• Memorial Hospital Association
• David E. Morgan, D.C.
• Nauvoo Colusa Cus Dist 325
• Nauvoo Fire Protection District
• Nauvoo Health & Chiropractic
• Nauvoo Pharmacy, PLLC

• Obstetrics & Gynecology Physician in Nauvoo, IL
• Providers in Nauvoo, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.