John E Miller, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-2548 Issued in CO

Practice address

2454 Hwy 6 and 50 Ste 104
Grand Junction, CO 81505-1117

Phone

(970) 249-7751

NPI assigned

Jan 18, 2007

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

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Cedar Point Health LLC

  • Internal Medicine Physician
  • Montrose, CO
  • NPI 1902804032
  Medicare reassignment
• Grand Mesa Spine and Sport, LLC

  • Certified Registered Nurse Anesthetist
  • Grand Junction, CO
  • NPI 1316333115
  NPD

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1396898169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S NEVADA AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014273",
            "telephone_number": "970-249-7751",
            "fax_number": "970-249-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 HWY 6 AND 50 STE 104",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051117",
            "telephone_number": "970-249-7751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Broadway",
            "address_2": "Building A Ste 100",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802033959",
            "country_code": "US",
            "telephone_number": "303-455-6345",
            "fax_number": "303-455-6343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA-2548",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18794",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0002548",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Miller
• Jacqueline Miller, MA, LPC
• James Robert Blake Miller, PT, DPT
• Jessica Clare Miller, MD
• Jillian Kristin Miller, R.N.
• Joseph Miller, MT
• Kara E Miller, LPC, CRC
• Katie Farnham Miller, CAT
• Katie Lynne Miller
• Kristen S Miller, PT

• Medical Physician Assistant in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.