Organization Active NPI

Pauline Miller MD LTD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1619290137
Registry record updated Dec 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9103 Issued in NV
Legal business name
PAULINE MILLER MD LTD
Practice address
7391 W Charleston Blvd Ste 140
Las Vegas, NV 89117-1577
Phone
(702) 400-2087
Fax
(702) 522-1606
NPI assigned
Mar 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2017

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

Authorized official

Name
Dr. Pauline E. Miller, MD
Title
MD/Owner
Phone
(702) 400-2087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 9103 NV Primary

Addresses

Primary practice location

7391 W Charleston Blvd Ste 140
Las Vegas, NV 89117-1577

Mailing address

7391 W Charleston Blvd Ste 140
Las Vegas, NV 89117-1577
Phone (702) 372-6575

Other identifiers 1

IdentifierTypeStateIssuer
1619290137MedicaidNV

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2465/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514073600000",
    "number": "1619290137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7391 W CHARLESTON BLVD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171577",
            "telephone_number": "702-372-6575",
            "fax_number": "702-522-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7391 W CHARLESTON BLVD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171577",
            "telephone_number": "702-400-2087",
            "fax_number": "702-522-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULINE MILLER MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2017-12-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "702-400-2087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "9103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619290137",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2017; 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.