Individual provider Active NPI

Amy Lynn Miller-Guhl, DPM

  • Foot Surgery Podiatrist
  • Waukesha, WI
National Provider Identifier
1396839833
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
850-025 Issued in WI
Practice address
20700 Watertown Rd Ste 200
Waukesha, WI 53186
Phone
(262) 544-0700
Fax
(262) 544-9017
NPI assigned
Oct 2, 2006
Last updated
Sep 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 850-025 WI Primary

Addresses

Primary practice location

20700 Watertown Rd Ste 200
Waukesha, WI 53186

Mailing address

20700 Watertown Rd Ste 200
Waukesha, WI 53186-1800
Phone (262) 544-0700

Other practice location 1

2120 E Moreland Blvd
Waukesha, WI 53186-4038
Phone (262) 544-0700

Other identifiers 2

IdentifierTypeStateIssuer
P01633658OtherWIRAILROAD MEDICARE
43234600MedicaidWI

Other names 1

  • Amy Lynn Miller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031203000289 WI Practitioner - Podiatry 0941105993 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Third Coast Foot and Ankle SCGroup PAC ID 7214350958, 2 clinicians

Practice addresses (Care Compare)

3333 S Sunny Slope Rd
Suite 102
New Berlin, WI 53151-4504
Phone (262) 821-1588

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions28
Removal of nail tissue284
Removal or shaving of skin growth80

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
850-025WIMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
A Step Ahead Foot Care, S.C. Foot Surgery CurrentSince Jan 1, 2007 Accepting new patients
Third Coast Foot and Ankle SC Foot Surgery CurrentSince Mar 1, 2022 Accepting new patients
Dr Ronald Z Arnold SC PastSince Jan 1, 1999 Accepting new patients
Eye Physician Associates, S.C. Past Accepting new patients
Foot & Ankle Specialists SC Past Accepting new patients
Waukesha Foot Specialist Past Accepting new patients

Locations

3200 S 20th St
Milwaukee, WI 53215
Phone (414) 389-3200

3333 S Sunny Slope Rd
Ste 102
New Berlin, WI 53151
Phone (262) 784-0236

7001 S Howell Ave
#500
Oak Creek, WI 53154
Phone (414) 764-4500

20700 Watertown Rd
Ste 200
Waukesha, WI 53186
Phone (262) 544-0700

2120 E Moreland Blvd
Ste C
Waukesha, WI 53186
Phone (262) 544-0700

Interoperability endpoints

  • Direct secure messaging: amy.miller-guhl.1@21740.direct.athenahealth.com
  • Direct secure messaging: amy.miller-guhl@wfs-wi.direct.office.nextgen.com
  • FHIR API: https://api.platform.athenahealth.com/21740/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1396839833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20700 WATERTOWN RD STE 200",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861800",
            "telephone_number": "262-544-0700",
            "fax_number": "262-544-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 WATERTOWN RD STE 200",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53186",
            "telephone_number": "262-544-0700",
            "fax_number": "262-544-9017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 E Moreland Blvd",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "531864038",
            "country_code": "US",
            "telephone_number": "262-544-0700",
            "fax_number": "262-544-9017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER-GUHL",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WI",
            "license": "850-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01633658",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43234600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MILLER",
            "middle_name": "LYNN",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.