Active NPI
Michael M Miller, MD
- Allergy & Immunology Physician
- Knoxville, TN
National Provider Identifier
1356307490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- MD10997
- Practice address
- 1114 E Weisgarber Rd
Ste a
Knoxville, TN 37909-2648 - Phone
- (865) 588-1833
- Fax
- (865) 588-8057
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD0000010997 | TN | |
| Allergy Physician | 207KA0200X | MD10997 | TN | |
| Allergy & Immunology Physician | 207K00000X | MD10997 | TN | Primary |
Addresses
Primary practice location
1114 E Weisgarber Rd
Ste a
Knoxville, TN 37909-2648
Mailing address
7205 Rotherwood Dr
Knoxville, TN 37919-7415
Phone (865) 588-8508
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100011924 | Other | TN | PHP TENNCARE |
| 31655207 | Medicaid | TN | |
| 2007597 | Other | TN | BLUE CARE |
| 11377084 | Other | TN | CAQH |
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 |
|---|---|---|---|
| MD0000010997 | TN | MD | Specialist |
| MD10997 | TN | MD | Allergy Physician |
| 10997 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528416000000",
"number": "1356307490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7205 ROTHERWOOD DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379197415",
"telephone_number": "865-588-8508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1114 E WEISGARBER RD",
"address_2": "STE A",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092648",
"telephone_number": "865-588-1833",
"fax_number": "865-588-8057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MICHAEL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2018-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "MD0000010997",
"primary": false
},
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "TN",
"license": "MD10997",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "TN",
"license": "MD10997",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP TENNCARE",
"identifier": "100011924",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31655207",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE",
"identifier": "2007597",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11377084",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.