Gwendolyn Miller, MD, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H6438 Issued in TX

Legal business name

GWENDOLYN MILLER, MD, P.A.

Practice address

1615 Grand Avenue Pkwy
112
Pflugerville, TX 78660-2059

Phone

(512) 252-1505

Fax

(512) 252-1506

NPI assigned

Aug 3, 2006

Organization subpart

No

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

Authorized official

Name

Gwendolyn Miller, MDNPI 1700812716

Title

President

Phone

(512) 252-1505

Specialties & licenses 1

Addresses

Other names 1

• Parkway Primary Care Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gwendolyn Miller, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Austin, TX
  • NPI 1700812716
  NPD (past) Authorized official
• Tina J Philip, DO

  • Family Medicine Physician
  • Round Rock, TX
  • NPI 1174793970
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1528076056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 GRAND AVENUE PKWY",
            "address_2": "112",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602059",
            "telephone_number": "512-252-1505",
            "fax_number": "512-252-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 GRAND AVENUE PKWY",
            "address_2": "112",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602059",
            "telephone_number": "512-252-1505",
            "fax_number": "512-252-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWENDOLYN MILLER, MD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-252-1505",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H6438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkway Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abhilasha Gupta, MD
• Anacleto Gutierrez
• Angelica Gutierrez
• Edward Ryan Guzman
• Janine Guzman
• Jamie Crouse Gwynn, LM
• H and F Transportation Service
• H-E-B, LP
• H-E-B, LP
• H-E-B, LP

• Family Medicine Physician in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.

Verify at the official NPI Registry.