NPIMap

Organization Active NPI

Craig a. Miller, DO, PA

  • Family Medicine Physician
  • Ormond Beach, FL
National Provider Identifier
1518072826
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS7698 Issued in FL
Legal business name
CRAIG A. MILLER, DO, PA
Practice address
1400 Hand Ave
Suite K
Ormond Beach, FL 32174-8194
Phone
(386) 852-3652
Fax
(386) 673-8009
NPI assigned
Aug 20, 2006
Last updated
Oct 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Authorized official

Name
Dr. Craig Allan Miller, D.O.NPI 1043291495
Title
Owner/President
Phone
(386) 852-3652

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS7698 FL Primary

Addresses

Primary practice location

1400 Hand Ave
Suite K
Ormond Beach, FL 32174-8194

Mailing address

1400 Hand Ave
Suite K
Ormond Beach, FL 32174-8194
Phone (386) 852-3652

Other identifiers 1

IdentifierTypeStateIssuer
260025100MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1518072826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HAND AVE",
            "address_2": "SUITE K",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748194",
            "telephone_number": "386-852-3652",
            "fax_number": "386-673-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HAND AVE",
            "address_2": "SUITE K",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748194",
            "telephone_number": "386-852-3652",
            "fax_number": "386-673-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG A. MILLER, DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "386-852-3652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260025100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.