Timothy J Patrick-Miller, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01072615A Issued in IN

Practice address

221 US Highway 41
Suite 1
Schererville, IN 46375-1277

Phone

(219) 864-3950

Fax

(219) 864-3952

NPI assigned

Oct 24, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1447333158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SIERRA DRIVE",
            "address_2": "SUITE 400",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437241",
            "telephone_number": "317-528-4886",
            "fax_number": "317-859-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 US HIGHWAY 41",
            "address_2": "SUITE 1",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751277",
            "telephone_number": "219-864-3950",
            "fax_number": "219-864-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK-MILLER",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA04624500",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01072615A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Park, RPH
• Gerald Parra, PT
• Hayley Nichole Partello, DDS
• Passion for Seniors Home Services, LLC
• Shodhan L Patel, MD
• Alexis M Patrick
• Ashley Nicole Payne, PTA
• Ashlee Elaine Pendleton
• Bethany Peshel
• Elizabeth Ellen Petty, NP

• Pediatrics Physician in Schererville, IN
• Providers in Schererville, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.