NPIMap

Individual provider Active NPI

Emily R. Miller, M.D.

  • Family Medicine Physician
  • Omak, WA
National Provider Identifier
1316175409
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60277428 Issued in WA
Practice address
1003 Koala Ave
Omak, WA 98841-9247
Phone
(509) 422-5700
Fax
(855) 204-8902
NPI assigned
Jun 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60277428 WA Primary

Addresses

Primary practice location

1003 Koala Ave
Omak, WA 98841-9247

Mailing address

PO Box 1340
Okanogan, WA 98840-1340
Phone (509) 422-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120905000066 WA Practitioner - Family Practice 1052568649 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers CurrentSince Nov 4, 2013 Accepting new patients
Family Health Centers CurrentSince Nov 4, 2013 Accepting new patients
Family Health Centers Current Accepting new patients
Regency Omak LLC Past Accepting new patients

Locations

1015 Columbia Ave
Bridgeport, WA 98813
Phone (509) 686-0603

1003 Koala Dr
Omak, WA 98841
Phone (509) 422-1913

Interoperability endpoints

  • Direct secure messaging: emily.miller.1@19043.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Rochester School of Medicine and Dentistry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Centers 31 clinicians
Okanogan County Public Hospital District No. 3 89 clinicians

Practice addresses (Care Compare)

1003 Koala Dr
Omak, WA 98841-9247
Phone (509) 422-5700

810 Jasmine St
Omak, WA 98841-9578
Phone (509) 826-1760

Hospital & facility affiliations

  • Encompass Health Home Health Home health agency, Omak, WA, CCN 507038
  • Mid Valley Hospital & Clinic Hospital, Omak, WA, CCN 501328
  • Regency Omak Nursing home, Omak, WA, CCN 505303

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1316175409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1340",
            "city": "OKANOGAN",
            "state": "WA",
            "postal_code": "988401340",
            "telephone_number": "509-422-5700",
            "fax_number": "509-422-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 KOALA AVE",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419247",
            "telephone_number": "509-422-5700",
            "fax_number": "855-204-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "EMILY",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60277428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omak, WA

Sources for this page

Verify at the official NPI Registry.