Active NPI
Andrew A Miller, CRNA
- Certified Registered Nurse Anesthetist
- West Jordan, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 360493-4406
- Practice address
- 3590 W 9000 S
West Jordan, UT 84088-8857 - Phone
- (801) 993-9527
- Fax
- (801) 733-5618
- NPI assigned
- Jul 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | RNA659 | ID | |
| Certified Registered Nurse Anesthetist | 367500000X | 360493-4406 | UT | Primary |
Addresses
Primary practice location
3590 W 9000 S
West Jordan, UT 84088-8857
Mailing address
1954 Ft Union Blvd
Suite 107
Salt Lake City, UT 84121-6800
Phone (801) 993-9527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8220 Wymark Dr
Elk Grove, CA 95757-6297
Phone (888) 253-1704
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNA659 | ID | MD | Specialist |
| 360493-4406 | UT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Services of San Joaquin, P.C. | Current | Accepting new patients | |
| Amsurg St George Anesthesia, LLC | Current | Accepting new patients | |
| Western Anesthesia Associates LLC | Current | Accepting new patients | |
| Brigham Anesthesia, LLC | Current | Accepting new patients | |
| Lifelinc Anesthesia VI PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Boise, P.a. | Specialist | Past | Accepting new patients |
| Utah Pain Management PC | Past | Accepting new patients |
Locations
8220 Wymark Dr
Elk Grove, CA 95757
Phone (888) 253-1704
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000
75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741
630 Medical Dr
North Salt Lake, UT 84010
Phone (801) 292-6231
368 E Riverside Dr
Ste B
St George, UT 84790
Phone (435) 674-3109
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- French Camp, CA
- NPI 1366778227
-
- Anesthesiology Physician
- St George, UT
- NPI 1730452814
-
- Anesthesiology Physician
- Brigham City, UT
- NPI 1710904800
-
- Anesthesiology Physician
- Bountiful, UT
- NPI 1174566277
-
- Certified Registered Nurse Anesthetist
- Watsonville, CA
- NPI 1487221628
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Ogden, UT
- NPI 1598778581
-
- Specialist
- Boise, ID
- NPI 1033147467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1508881707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1954 FT UNION BLVD",
"address_2": "SUITE 107",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216800",
"telephone_number": "801-993-9527",
"fax_number": "801-733-5618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3590 W 9000 S",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840888857",
"telephone_number": "801-993-9527",
"fax_number": "801-733-5618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ANDREW",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ID",
"license": "RNA659",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "360493-4406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.