Individual provider Active NPI

Mark Allen Miller, CRNA

  • Certified Registered Nurse Anesthetist
  • Lexington, KY
National Provider Identifier
1417987330
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4740A Issued in KY
Practice address
800 Rose St
Department of Anesthesia N202
Lexington, KY 40536-3008
Phone
(859) 323-5956
Fax
(859) 323-1080
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4740A KY Primary

Addresses

Primary practice location

800 Rose St
Department of Anesthesia N202
Lexington, KY 40536-3008

Mailing address

800 Rose St
Department of Anesthesia N202
Lexington, KY 40536-0001
Phone (859) 323-5956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050915000061 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153354634 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
4740AKYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St Claire Medical Center, Inc CurrentSince Jul 3, 2019 Accepting new patients
Anesthesia Associates, PSC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2023 Accepting new patients
University of Kentucky CurrentSince Aug 12, 2013 Accepting new patients
St Claire Medical Center, Inc., Nurse Anesthetist, Certified Registered Current Accepting new patients
Kentucky Anesthesia Group, PSC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2019 Accepting new patients
Central Kentucky Anesthesia P.S.C. Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients
St. Claire Medical Center Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 3, 2019 Accepting new patients
Central Kentucky Anesthesia PSC Current Accepting new patients
Environ Anesthesia, LLC. Nurse Anesthetist, Certified Registered CurrentSince Jun 15, 2017 Accepting new patients
Danville Anesthesia Associates, LLP Nurse Anesthetist, Certified Registered CurrentSince Jun 15, 2017 Accepting new patients
Sleepers Anesthesia Services, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

617 23rd St
Ste 215
Ashland, KY 41101
Phone (606) 408-1260

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

236 W Main St
Ste 202
Danville, KY 40422
Phone (859) 238-7746

236 W Main St
Ste 200
Danville, KY 40422
Phone (859) 238-7746

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

800 Rose St
#N202
Lexington, KY 40536
Phone (859) 323-5956

3480 Yorkshire Medical Park
#100
Lexington, KY 40509
Phone (859) 514-0260

2115 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 276-2520

1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112

222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455

50 Sterling Ave
Mt Sterling, KY 40353
Phone (606) 498-1220

9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600

1107 W Lexington Ave
Winchester, KY 40391
Phone (859) 745-3500

175 Hospital Dr
Winchester, KY 40391
Phone (859) 745-3500

Interoperability endpoints

  • Direct secure messaging: mmiller22573@ukhcdirect.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1417987330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "address_2": "DEPARTMENT OF ANESTHESIA N202",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360001",
            "telephone_number": "859-323-5956",
            "fax_number": "859-323-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "address_2": "DEPARTMENT OF ANESTHESIA N202",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405363008",
            "telephone_number": "859-323-5956",
            "fax_number": "859-323-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "4740A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.