Organization Active NPI

Stephen a. Miller, M.D.,PC

  • Specialist
  • Virginia Beach, VA
National Provider Identifier
1356507792
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101034633 Issued in VA
Legal business name
STEPHEN A. MILLER, M.D.,PC
Practice address
1729 Wildwood Drive
Suite 103
Virginia Beach, VA 23454-3176
Phone
(757) 481-3179
Fax
(757) 481-5294
NPI assigned
Aug 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Stephen Allen Miller, M.D.
Title
Physician
Phone
(757) 481-3179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101034633 VA Primary

Addresses

Primary practice location

1729 Wildwood Drive
Suite 103
Virginia Beach, VA 23454-3176

Mailing address

1729 Wildwood Drive
Suite 103
Virginia Beach, VA 23454-3176
Phone (757) 481-3179

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1356507792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 WILDWOOD DRIVE",
            "address_2": "SUITE 103",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543176",
            "telephone_number": "757-481-3179",
            "fax_number": "757-481-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 WILDWOOD DRIVE",
            "address_2": "SUITE 103",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543176",
            "telephone_number": "757-481-3179",
            "fax_number": "757-481-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A. MILLER, M.D.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "757-481-3179",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101034633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.