Darrell M. Miller, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15075 Issued in WA

Practice address

406 SE 131St Ave
Suite 101
Vancouver, WA 98683-4004

Phone

(360) 253-2822

Fax

(360) 253-8642

NPI assigned

Sep 9, 2005

Last updated

Aug 6, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fauquier Physician Practices LLC

  • Internal Medicine Physician
  • Warrenton, VA
  • NPI 1770916983
  NPD (past)

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249516800000",
    "number": "1396739967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4421 NE ST JOHNS RD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986612573",
            "telephone_number": "360-695-9922",
            "fax_number": "360-695-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 SE 131ST AVE",
            "address_2": "SUITE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834004",
            "telephone_number": "360-253-2822",
            "fax_number": "360-253-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DARRELL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2009-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "15075",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "15075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8106502",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Miller, LMP
• Caitlyn Miller, LPN
• Carrie Anne Miller
• Cathleen J Miller, M.D.
• Colleen J Miller, LMT
• Dawniel Miller
• Deborah M Miller, OC
• Elizabeth M Miller
• Eugene Reinhardt Miller Jr.
• Ezra John Miller, B.S.

• General Practice Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.