Active NPI
Andrew Miller
- Foot & Ankle Surgery Podiatrist
- Dover Foxcroft, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD1126
- Practice address
- 188 Summer St
Dover Foxcroft, ME 04426-1129 - Phone
- (207) 538-3700
- Fax
- (207) 528-2880
- NPI assigned
- Jun 20, 2016
- Last updated
- Sep 18, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD1126 | ME | Primary |
Addresses
Primary practice location
188 Summer St
Dover Foxcroft, ME 04426-1129
Mailing address
529 S Patten Rd
Patten, ME 04765-3007
Phone (207) 538-3700
Other practice location 1
180 Main Rd
Brownville, ME 04414-3107
Phone (207) 538-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
180 Main Rd
Brownville, ME 04414-3107
Phone (207) 528-2285
50 Summer St
Millinocket, ME 04462-1400
Phone (207) 528-2285
897 W Main St
Dover Foxcroft, ME 04426-1029
Phone (207) 564-8401
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD1126 | ME | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katahdin Valley Health Center | Current | Accepting new patients | |
| Katahdin Valley Health Center | Current | Accepting new patients | |
| Katahdin Valley Health Center | Current | Accepting new patients | |
| MRH Corp. | Past | Accepting new patients | |
| Redwood Podiatry Group | Past | Accepting new patients |
Locations
33 Walker St
Ashland, ME 04732
Phone (207) 435-6341
180 Main Rd
Brownville, ME 04414
Phone (207) 965-8700
188 Summer St
Dover Foxcroft, ME 04426
Phone (207) 447-4975
59 Bangor St
Houlton, ME 04730
Phone (207) 532-7161
50 Summer St
Millinocket, ME 04462
Phone (207) 723-6565
30 Houlton St
Patten, ME 04765
Phone (866) 366-5842
529 S Patten Rd
Patten, ME 04765
Interoperability endpoints
- andrew.miller.1@7377.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Houlton, ME
- NPI 1376618546
-
- Federally Qualified Health Center (FQHC)
- Island Falls, ME
- NPI 1457421307
-
- Community/Retail Pharmacy
- Brownville, ME
- NPI 1699479311
-
dba Northern Light Primary Care Dover-Foxcroft
- Family Medicine Physician
- Dover Foxcroft, ME
- NPI 1548382328
-
- Podiatrist
- Eureka, CA
- NPI 1790965143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1538519699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 S PATTEN RD",
"city": "PATTEN",
"state": "ME",
"postal_code": "047653007",
"telephone_number": "207-538-3700",
"fax_number": "207-528-2880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "188 SUMMER ST",
"city": "DOVER FOXCROFT",
"state": "ME",
"postal_code": "044261129",
"telephone_number": "207-538-3700",
"fax_number": "207-528-2880"
}
],
"practiceLocations": [
{
"address_1": "180 Main Rd",
"address_purpose": "LOCATION",
"city": "Brownville",
"state": "ME",
"postal_code": "044143107",
"country_code": "US",
"telephone_number": "207-538-3700",
"fax_number": "207-528-2880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-20",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "ME",
"license": "POD1126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover Foxcroft, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.
- 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.