Miller Family Medicine, SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036105875 Issued in IL

Legal business name

MILLER FAMILY MEDICINE, SC

Practice address

1503 Valle Vista Blvd
Pekin, IL 61554-6239

Phone

(309) 840-2177

NPI assigned

Jul 25, 2008

Organization subpart

No

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

Authorized official

Name

John Kevin Edward Miller, D.O

Title

Director

Phone

(309) 840-2177

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1376708651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 VALLE VISTA BLVD",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615546239",
            "telephone_number": "309-840-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 VALLE VISTA BLVD",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615546239",
            "telephone_number": "309-840-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER FAMILY MEDICINE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOHN KEVIN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "309-840-2177",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036105875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael D. Danner, D.D.S., LLC
• Dory Mickna, FNP-C
• Midwest Anesthesia Consultants, S.C.
• Midwest Eye Care P.C.
• Midwest Eye Care PC
• Christina Marie Miller, BS
• Cynthia Dawn Miller, DMD
• Julie Miller
• Kevin E Miller, DO
• Renae Elizabeth Miller, LPC, MSMFT

• Family Medicine Physician in Pekin, IL
• Providers in Pekin, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.