Active NPI
Marjorie S. Miller, M.D.
- Surgery Physician
- Medford, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 44424
- Practice address
- 143 S Gibson St
Medford, WI 54451-1622 - Phone
- (715) 748-2121
- NPI assigned
- Jul 9, 2006
- Last updated
- Dec 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35406 | WI | |
| Surgery Physician | 208600000X | 44424 | WI | Primary |
Addresses
Primary practice location
143 S Gibson St
Medford, WI 54451-1622
Mailing address
225811 Bayview Dr
Wisconsin Rapids, WI 54494-4714
Other practice location 1
420 Dewey St
Wisconsin Rapids, WI 54494-4714
Phone (715) 422-7771
Other practice location 2
3400 E Racine St
Janesville, WI 53546-2344
Phone (608) 373-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34220700 | Medicaid | WI | |
| 1487687604 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | mmiller441903@direct-ehr-ssmhc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Medford Hospital and Clinics Inc
Practice addresses (Care Compare)
101 Willmar Ave SW
Willmar, MN 56201-3556
Phone (320) 231-5000
143 S Gibson St
Medford, WI 54451-1622
Phone (715) 748-8100
410 Dewey St
Wisconsin Rapids, WI 54494-4715
Phone (715) 423-6060
824 Illinois Ave
Stevens Point, WI 54481-3112
Phone (715) 344-1600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35406 | WI | MD | Surgery Physician |
| 44424 | WI | MD | Surgery Physician |
Practice roles
Locations
29980 Network Pl
Chicago, IL 60673
600 Peterson Pkwy
New London, MN 56273
Phone (320) 354-2222
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
101 Willmar Ave SW
Willmar, MN 56201
Phone (320) 231-5079
400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318
420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400
3400 E Racine St
Janesville, WI 53546
Phone (608) 373-8000
360 S Mountin Dr
Mayville, WI 53050
Phone (920) 387-2111
135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100
143 S Gibson St
Medford, WI 54451
Phone (715) 748-2121
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
845 Parkside St
Ripon, WI 54971
Phone (920) 748-3101
824 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700
620 W Brown St
Waupun, WI 53963
Phone (920) 324-5581
333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160
420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474
420 Dewey St
#2
Wisconsin Rapids, WI 54494
Phone (715) 422-7771
420 Dewey St
Ste 2
Wisconsin Rapids, WI 54494
Phone (715) 422-7771
Interoperability endpoints
- mmiller17288@direct.aspirus.org
- mmiller827441@direct.centracare.com
Organizations & group practices 24
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Aspirus Stevens Point Clinic - Illinois Avenue
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
dba Aspirus Outpatient Therapies - Wisconsin Rapids
- General Acute Care Hospital
- Wisconsin Rapids, WI
- NPI 1295754844
-
- Multi-Specialty Clinic/Center
- Willmar, MN
- NPI 1174106264
-
dba SSM Health St Agnes Hospital Fond Du Lac
- General Acute Care Hospital
- Fond Du Lac, WI
- NPI 1346228541
-
dba Aspirus Gilman Clinic
- Rural Health Clinic/Center
- Gilman, WI
- NPI 1285703173
-
dba Aspirus Medford Hospital
- Critical Access Hospital
- Medford, WI
- NPI 1619079597
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
dba Aspirus Wausau Hospital Hospitalists
- Clinic/Center
- Wausau, WI
- NPI 1922321140
-
dba SSM Health Dean Medical Group
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
dba Aspirus Divine Savior Hospital
- General Acute Care Hospital
- Portage, WI
- NPI 1124083894
-
dba SSM Health Fond Du Lac Regional Clinic
- Family Medicine Physician
- Fond Du Lac, WI
- NPI 1730162991
Surgery
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Aspirus Clinic - Marshfield
- Rural Health Clinic/Center
- Marshfield, WI
- NPI 1124633870
Hospital
-
dba Aspirus Outpatient Therapies - Wisconsin Rapids
- General Acute Care Hospital
- Wisconsin Rapids, WI
- NPI 1295754844
-
- General Practice Physician
- Stevens Point, WI
- NPI 1184082745
Hospital
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
dba CentraCare - Rice Memorial Hospital
- Infusion Therapy Clinic/Center
- Willmar, MN
- NPI 1124657150
Hospital
-
dba CentraCare - Rice Memorial Hospital
- General Acute Care Hospital
- Willmar, MN
- NPI 1407367030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1487687604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225811 BAYVIEW DR",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544944714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 S GIBSON ST",
"city": "MEDFORD",
"state": "WI",
"postal_code": "544511622",
"telephone_number": "715-748-2121"
}
],
"practiceLocations": [
{
"address_1": "420 Dewey St",
"address_purpose": "LOCATION",
"city": "Wisconsin Rapids",
"state": "WI",
"postal_code": "544944714",
"country_code": "US",
"telephone_number": "715-422-7771",
"fax_number": "715-424-4404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3400 E Racine St",
"address_purpose": "LOCATION",
"city": "Janesville",
"state": "WI",
"postal_code": "535462344",
"country_code": "US",
"telephone_number": "608-373-8000",
"fax_number": "608-373-8795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "MARJORIE",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2023-12-28",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "35406",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "44424",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34220700",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1487687604",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "3400 E Racine St",
"city": "Janesville",
"state": "WI",
"country_code": "US",
"postal_code": "535462344",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmiller441903@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "mmiller441903@direct-ehr-ssmhc.com",
"address_1": "3400 E Racine St",
"city": "Janesville",
"state": "WI",
"country_code": "US",
"postal_code": "535462344",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Medford, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.