Mark E. Miller, M.D., PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MARK E. MILLER, M.D., PA

Practice address

153 E Monte Painter Dr
Fayetteville, AR 72703-4002

Phone

(479) 527-9966

Fax

(479) 527-9756

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Edgar Miller, M.D.

Title

Owner

Phone

(479) 527-9966

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheryl Cash, PA-C

  • Physician Assistant
  • Rogers, AR
  • NPI 1588648885
  NPD (past)
• Lauren E Greenhaw, PA-C

  • Medical Physician Assistant
  • Bentonville, AR
  • NPI 1952599615
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316038029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10135",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727030037",
            "telephone_number": "479-527-9966",
            "fax_number": "479-527-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E MONTE PAINTER DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034002",
            "telephone_number": "479-527-9966",
            "fax_number": "479-527-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E. MILLER, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDGAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-527-9966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana C Mar Leon
• Byron Michael Marciniak, DO
• Dorothy Marcy
• Marie W. Wood PHD Inc
• Sylvia Marinus
• Matthew H Marks, MD
• Stephanie Lyn Marlatt, BSW
• John Joseph Marrufo
• Julia Marsh, FNP
• Caitlyn Paige Marshall

• Family Medicine Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Family Medicine Physician in Arkansas

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.