Active NPI
Koren Miller, M.D.
- Surgery Physician
- Newark, DE
National Provider Identifier
1508993197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C7-0002201
- Practice address
- 4735 Ogletown Stanton Rd
Suite 2121, Map 2
Newark, DE 19713-2072 - Phone
- (302) 733-4503
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C7-0002201 | DE | Primary |
Addresses
Primary practice location
4735 Ogletown Stanton Rd
Suite 2121, Map 2
Newark, DE 19713-2072
Mailing address
4745 Ogletown-Stanton Road
Ste 2A00
Newark, DE 19718-0001
Phone (302) 733-1042
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 |
|---|---|---|---|
| C7-0002201 | DE | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187827200000",
"number": "1508993197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4745 OGLETOWN-STANTON ROAD",
"address_2": "STE 2A00",
"city": "NEWARK",
"state": "DE",
"postal_code": "197180001",
"telephone_number": "302-733-1042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4735 OGLETOWN STANTON RD",
"address_2": "SUITE 2121, MAP 2",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132072",
"telephone_number": "302-733-4503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KOREN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "DE",
"license": "C7-0002201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.