Active NPI
Jennifer Lynn Miller, MD
- Pediatrics Physician
- Lancaster, OH
National Provider Identifier
1497916894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 57.011552
- Practice address
- 1554 Wesley Way
Lancaster, OH 43130 - Phone
- (740) 687-6386
- NPI assigned
- Jun 19, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 57.011552 | OH | Primary |
Addresses
Primary practice location
1554 Wesley Way
Lancaster, OH 43130
Mailing address
1165 Rainbow Dr. NW
Lancaster, OH 43130
Phone (317) 903-7612
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 |
|---|---|---|---|
| 57.011552 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates of Lancaster, Inc. | Pediatrics | Current | Accepting new patients |
Locations
1554 Wesley Way
Lancaster, OH 43130
Phone (740) 687-6386
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Lancaster, OH
- NPI 1255305207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1497916894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1165 RAINBOW DR. NW",
"city": "LANCASTER",
"state": "OH",
"postal_code": "43130",
"telephone_number": "317-903-7612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1554 WESLEY WAY",
"city": "LANCASTER",
"state": "OH",
"postal_code": "43130",
"telephone_number": "740-687-6386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-19",
"last_updated": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "57.011552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.