Active NPI
Donald S. Miller, M.D.
- Hematology & Oncology Physician
- Shelby, NC
National Provider Identifier
1497747786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 15667
- Practice address
- 1405B N Lafayette St
Shelby, NC 28150-3406 - Phone
- (704) 482-8936
- Fax
- (704) 482-9683
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 15667 | NC | Primary |
Addresses
Primary practice location
1405B N Lafayette St
Shelby, NC 28150-3406
Mailing address
1405B N Lafayette St
Shelby, NC 28150-3406
Phone (704) 482-8936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8958901 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15667 | NC | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1497747786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405B N LAFAYETTE ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503406",
"telephone_number": "704-482-8936",
"fax_number": "704-482-9683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405B N LAFAYETTE ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503406",
"telephone_number": "704-482-8936",
"fax_number": "704-482-9683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DONALD",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NC",
"license": "15667",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8958901",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, NC
- Jose Daniel Mena Pasquel, MD
- Mental Health & Spiritual Wellness Therapeutic Services
- Gina Michelle Merritt, DO
- Victoria N Miley
- Donald Glenn Miller Jr., PT,DPT,MS,CSCS
- Sara Jane Miller, DC
- Shelby Millwood, FNP-C
- Mind & Body Wellness, PLLC
- Amber Blackwood Miner, MED, LCMHC, LPC
- Amy Liann Mitchell-Parker
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.