Little Kanawha Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1999 Issued in WV

Legal business name

LITTLE KANAWHA FAMILY MEDICINE PLLC

Practice address

604 W Main St
Glenville, WV 26351

Phone

(304) 462-7460

Fax

(304) 462-7461

NPI assigned

Jun 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hillary D Miller, DO MPH

Title

Owner Physician

Phone

(304) 462-7460

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eddie Evan Anderson, D.O.

  • Emergency Medicine Physician
  • Gassaway, WV
  • NPI 1154360634
  Medicare reassignment NPD
• Hilary Dawn Miller, DO

  • Family Medicine Physician
  • Glenville, WV
  • NPI 1366479297
  Medicare reassignment NPD

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295770600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W MAIN ST",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "26351",
            "telephone_number": "304-462-7460",
            "fax_number": "304-462-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W MAIN ST",
            "city": "GLENVILLE",
            "state": "WV",
            "postal_code": "26351",
            "telephone_number": "304-462-7460",
            "fax_number": "304-462-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE KANAWHA FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "304-462-7460",
        "authorized_official_credential": "DO MPH"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Kimble
• Robin King
• Todd A. Lares, MD
• Jeanette Ellen Leal, LAT, ATC
• Heidi Lynn Lindsay
• Jamie Losh
• Peggy Losh
• Abbie Jo Lowther, FNP
• Sandra Luzader
• Mark J Cinalli OD Faao PLLC (Gilmer County Eye Clinic)

• Family Medicine Physician in Glenville, WV
• Providers in Glenville, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.