Active NPI
Jon W Miller, MD
- Emergency Medicine Physician
- Louisville, KY
National Provider Identifier
1396847398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 18436
- Practice address
- 1 Audubon Plaza Dr
Louisville, KY 40217-1318 - Phone
- (502) 634-6767
- Fax
- (502) 634-6775
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 18436 | KY | Primary |
Addresses
Primary practice location
1 Audubon Plaza Dr
Louisville, KY 40217-1318
Mailing address
PO Box 36218
Louisville, KY 40233-6218
Phone (502) 634-6767
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18436 | Other | KY | KY LICENSE |
| 64184369 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentuckiana Emergency Physicians | Past | Accepting new patients | |
| Elizabethtown Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Kentuckiana Emergency Physicians, PLLC | Emergency Medicine | Past | Accepting new patients |
| Louisville Radiology Imaging Consultants, PLLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Elizabethtown, KY
- NPI 1528003316
-
- Emergency Care Clinic/Center
- Louisville, KY
- NPI 1942362058
-
- Emergency Medicine Physician
- Louisville, KY
- NPI 1801833140
-
- Diagnostic Radiology Physician
- Owensboro, KY
- NPI 1639115447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400544000000",
"number": "1396847398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36218",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402336218",
"telephone_number": "502-634-6767",
"fax_number": "502-634-6775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 AUDUBON PLAZA DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171318",
"telephone_number": "502-634-6767",
"fax_number": "502-634-6775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JON",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2014-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "18436",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY LICENSE",
"identifier": "18436",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64184369",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.