Active NPI
Raymond J Miller, DO
- Family Medicine Physician
- Lima, OH
National Provider Identifier
1518917079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34.003926
- Practice address
- 525 N Eastown Rd
Suite D
Lima, OH 45807-2268 - Phone
- (419) 224-4646
- Fax
- (419) 224-2410
- NPI assigned
- May 12, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34.003926 | OH | Primary |
Addresses
Primary practice location
525 N Eastown Rd
Suite D
Lima, OH 45807-2268
Mailing address
121 W High St
5TH Floor
Lima, OH 45801-4340
Phone (419) 998-4375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0611074 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071105000260 | OH | Practitioner - Family Practice | 4183632490 | Practice locations: Perrysburg, OH |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34003962 | OH | MD | Pediatrics Physician |
| 3926 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Professional Corporation | Family Medicine | Past | Accepting new patients |
| Oakmont Medical LLC | Family Medicine | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Lima Memorial Professional Corporation | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Pediatrics Physician
- Lima, OH
- NPI 1093972614
-
- Family Medicine Physician
- Lima, OH
- NPI 1114978244
-
- Family Medicine Physician
- Perrysburg, OH
- NPI 1174561732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357516800000",
"number": "1518917079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 W HIGH ST",
"address_2": "5TH FLOOR",
"city": "LIMA",
"state": "OH",
"postal_code": "458014340",
"telephone_number": "419-998-4375",
"fax_number": "419-998-4586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 N EASTOWN RD",
"address_2": "SUITE D",
"city": "LIMA",
"state": "OH",
"postal_code": "458072268",
"telephone_number": "419-224-4646",
"fax_number": "419-224-2410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "RAYMOND",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2013-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34.003926",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0611074",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.