Individual provider Active NPI

Emma J Miller, D.O

  • Obstetrics & Gynecology Physician
  • Lehi, UT
National Provider Identifier
1609162296
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
9402835-1204 Issued in UT
Practice address
3401 N Center St
Suite 150
Lehi, UT 84043-7497
Phone
(801) 653-2757
Fax
(801) 653-2747
NPI assigned
Jun 22, 2011
Last updated
Mar 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 9402835-1204 UT Primary

Addresses

Primary practice location

3401 N Center St
Suite 150
Lehi, UT 84043-7497

Mailing address

1020 S 1100 W Ste B
Lehi, UT 84043-6041
Phone (801) 653-2757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151005002348 UT Practitioner - Obstetrics/Gynecology 3971811365 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
9402835-1204UTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Obstetrics & Gynecology CurrentSince Apr 1, 2021 Accepting new patients
Ihc Health Services, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

630 Medical Dr
North Salt Lake, UT 84010
Phone (801) 292-6231

354 W State Road 73
Saratoga Springs, UT 84045
Phone (801) 341-5200

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
Ste N1600
St George, UT 84790
Phone (435) 688-4770

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1609162296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S 1100 W STE B",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436041",
            "telephone_number": "801-653-2757",
            "fax_number": "801-653-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N CENTER ST",
            "address_2": "SUITE 150",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840437497",
            "telephone_number": "801-653-2757",
            "fax_number": "801-653-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "EMMA",
        "middle_name": "J",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "9402835-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.