Active NPI
Stanton Yale Miller, MD
- Anatomic Pathology & Clinical Pathology Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- T4661
- Practice address
- 9200 Wall St
Austin, TX 78754-4534 - Phone
- (512) 339-1275
- NPI assigned
- Apr 18, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | T4661 | TX | Primary |
Addresses
Primary practice location
9200 Wall St
Austin, TX 78754-4534
Mailing address
5600 Smu Blvd Apt 1417
Dallas, TX 75206-5260
Other practice location 1
5323 Harry Hines Blvd Stop 7200
Dallas, TX 75390-7200
Phone (214) 648-3111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T4661 | TX | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Pathology Associates | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Austin Pathology Associates | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382
4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165
9200 Wall St
Austin, TX 78754
Phone (512) 339-1275
1355 River Bend Dr
Dallas, TX 75247
Phone (214) 237-1818
2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117
1122 Austin Hwy
San Antonio, TX 78209
Phone (210) 342-6488
Organizations & group practices 2
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Austin, TX
- NPI 1538172028
-
- Anatomic Pathology & Clinical Pathology Physician
- Austin, TX
- NPI 1669414330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1609363274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5600 SMU BLVD APT 1417",
"city": "DALLAS",
"state": "TX",
"postal_code": "752065260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 WALL ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787544534",
"telephone_number": "512-339-1275"
}
],
"practiceLocations": [
{
"address_1": "5323 Harry Hines Blvd Stop 7200",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "753907200",
"country_code": "US",
"telephone_number": "214-648-3111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "STANTON",
"middle_name": "YALE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-18",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TX",
"license": "T4661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.