Active NPI
Samuel K. Miller, M.D.
- Surgery Physician
- Seaford, DE
National Provider Identifier
1336211432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C1-0005891
- Practice address
- 543 N Shipley St
Suite a
Seaford, DE 19973-2339 - Phone
- (302) 629-8662
- Fax
- (302) 629-7661
- NPI assigned
- Nov 14, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C1-0005891 | DE | Primary |
Addresses
Primary practice location
543 N Shipley St
Suite a
Seaford, DE 19973-2339
Mailing address
543 N Shipley St
Suite a
Seaford, DE 19973-2339
Phone (302) 629-8662
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001098601 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0005891 | DE | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nanticoke Surgical Center LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ambulatory Surgical Clinic/Center
- Seaford, DE
- NPI 1790213361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194998400000",
"number": "1336211432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "543 N SHIPLEY ST",
"address_2": "SUITE A",
"city": "SEAFORD",
"state": "DE",
"postal_code": "199732339",
"telephone_number": "302-629-8662",
"fax_number": "302-629-7661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "543 N SHIPLEY ST",
"address_2": "SUITE A",
"city": "SEAFORD",
"state": "DE",
"postal_code": "199732339",
"telephone_number": "302-629-8662",
"fax_number": "302-629-7661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SAMUEL",
"middle_name": "K.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2007-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "DE",
"license": "C1-0005891",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001098601",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seaford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.