Stephen Kerry Miller, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0057317 Issued in FL

Practice address

2007 Harrison Ave
Ste a
Panama City, FL 32405-4545

Phone

(850) 872-0835

Fax

(850) 784-9154

NPI assigned

Oct 6, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Stephen Miller Professional name

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1457349276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 HARRISON AVE",
            "address_2": "STE A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054545",
            "telephone_number": "850-872-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 HARRISON AVE",
            "address_2": "STE A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054545",
            "telephone_number": "850-872-0835",
            "fax_number": "850-784-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEPHEN",
        "middle_name": "KERRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0057317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063521900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHEN",
            "last_name": "MILLER",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kamala Madelle Miller, LMT
• Melissa Ann Miller, LCSW
• Michael Allen Miller, M.S. CAP
• Pennie Denise Miller, RN
• Rita Joan Miller, MED, RD, LD/N
• Mattie A Millikan, DPT
• Joy Mills
• Karla Mills, RN
• Lashonda Mills
• Nancy Mills, LCSW

• Internal Medicine Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.