Individual provider Active NPI

Ryan Patrick Miller, P.A.-C

  • Physician Assistant
  • Lexington, KY
National Provider Identifier
1497034052
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1667 Issued in KY
Practice address
3094 Harrodsburg Rd Ste 201
Lexington, KY 40503-2897
Phone
(859) 605-8060
Fax
(859) 605-8061
NPI assigned
Aug 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1667 KY Primary

Addresses

Primary practice location

3094 Harrodsburg Rd Ste 201
Lexington, KY 40503-2897

Mailing address

800 Forest Lake Dr
Lexington, KY 40515-6298
Phone (859) 940-8832

Other practice location 1

175 Hospital Dr
Winchester, KY 40391-9591
Phone (859) 737-8444

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20121026000663 KY Practitioner - Physician Assistant 1850541889 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1667KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Sep 30, 2024 Accepting new patients
Journey Health CurrentSince Apr 6, 2025 Accepting new patients
Wild Health, Inc. Current Accepting new patients
Baptist Health Medical Group Inc Physician Assistant CurrentSince Sep 30, 2024 Accepting new patients
Marshall Emergency Services Associates, PLLC Physician Assistant Past Accepting new patients

Locations

96 Future Dr
Corbin, KY 40701

60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115

3094 Harrodsburg Rd
Ste 201
Lexington, KY 40503
Phone (859) 605-8060

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

Organizations & group practices 6

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": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1497034052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 FOREST LAKE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405156298",
            "telephone_number": "859-940-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3094 HARRODSBURG RD STE 201",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032897",
            "telephone_number": "859-605-8060",
            "fax_number": "859-605-8061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "KY",
            "postal_code": "403919591",
            "country_code": "US",
            "telephone_number": "859-737-8444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RYAN",
        "middle_name": "PATRICK",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-12",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA1667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.