Individual provider Active NPI

Kent Eugene Miller, M.D.

  • Occupational Medicine Physician
  • East Peoria, IL
National Provider Identifier
1336368083
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Practice address
Caterpillar Inc
100 Tractor Drive, BLDG. SS, Medical Dept.
East Peoria, IL 61630-0001
Phone
(309) 494-2559
Fax
(309) 675-7773
NPI assigned
Apr 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X IL Primary

Addresses

Primary practice location

Caterpillar Inc
100 Tractor Drive, BLDG. SS, Medical Dept.
East Peoria, IL 61630-0001

Mailing address

Caterpillar Inc
100 Tractor Drive, BLDG. SS, Medical Dept.
East Peoria, IL 61630-0001
Phone (309) 494-2559

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-094074ILMDOccupational Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336368083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CATERPILLAR INC",
            "address_2": "100 TRACTOR DRIVE, BLDG. SS, MEDICAL DEPT.",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616300001",
            "telephone_number": "309-494-2559",
            "fax_number": "309-675-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CATERPILLAR INC",
            "address_2": "100 TRACTOR DRIVE, BLDG. SS, MEDICAL DEPT.",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616300001",
            "telephone_number": "309-494-2559",
            "fax_number": "309-675-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KENT",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.