Active NPI
Miller Family Medicine, LLC
- Family Medicine Physician
- Slidell, LA
National Provider Identifier
1356560528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12706R
- Legal business name
- MILLER FAMILY MEDICINE, LLC
- Practice address
- 1001 Gause Blvd
Box 75
Slidell, LA 70458-2939 - Phone
- (985) 639-8970
- Fax
- (985) 639-8971
- NPI assigned
- Apr 25, 2007
- Last updated
- Aug 2, 2010
- Organization subpart
- Yes
- Parent organization
- SLIDELL MEMORIAL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Stephanie H Quick
- Title
- Director, SMH Physicians Network
- Phone
- (985) 649-8873
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12706R | LA | Primary |
Addresses
Primary practice location
1001 Gause Blvd
Box 75
Slidell, LA 70458-2939
Mailing address
140 E I 10 Service Rd
Slidell, LA 70461-3564
Phone (985) 847-9909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801020433 | Other | LA | NPI PHYSICIANS NETWORK IDENTIFICATION NUMBER |
National Provider Directory
National Provider Directory- Part of
- Slidell Memorial Hospital
Locations
1001 Gause Blvd
#75
Slidell, LA 70458
Phone (985) 280-3609
140 E I 10 Service Rd
Slidell, LA 70461
Phone (985) 280-9909
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Primary Care Nurse Practitioner
- Slidell, LA
- NPI 1992975056
-
- Family Medicine Physician
- Hammond, LA
- NPI 1396742508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280707200000",
"number": "1356560528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 E I 10 SERVICE RD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704613564",
"telephone_number": "985-847-9909",
"fax_number": "985-847-9902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 GAUSE BLVD",
"address_2": "BOX 75",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704582939",
"telephone_number": "985-639-8970",
"fax_number": "985-639-8971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLER FAMILY MEDICINE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SLIDELL MEMORIAL HOSPITAL",
"enumeration_date": "2007-04-25",
"last_updated": "2010-08-02",
"status": "A",
"authorized_official_last_name": "QUICK",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "DIRECTOR, SMH PHYSICIANS NETWORK",
"authorized_official_telephone_number": "985-649-8873",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "LA",
"license": "12706R",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI PHYSICIANS NETWORK IDENTIFICATION NUMBER",
"identifier": "1801020433",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.