Active NPI
David S Miller MD
- Pediatrics Physician
- Eugene, OR
National Provider Identifier
1629266374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD12022
- Legal business name
- DAVID S MILLER MD
- Practice address
- 995 Willagillespie Rd
Ste 200
Eugene, OR 97401-2170 - Phone
- (541) 341-3717
- Fax
- (541) 302-8107
- NPI assigned
- Oct 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David S Miller, MD
- Title
- Owner
- Phone
- (541) 341-3717
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD12022 | OR | Primary |
Addresses
Primary practice location
995 Willagillespie Rd
Ste 200
Eugene, OR 97401-2170
Mailing address
995 Willagillespie Rd
Ste 200
Eugene, OR 97401-2170
Phone (541) 341-3717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013532 | Medicaid | OR |
Other names 1
- Pediatric Care Associates
National Provider Directory
National Provider DirectoryLocations
995 Willagillespie Rd
Ste 200
Eugene, OR 97401
Phone (541) 341-3717
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Eugene, OR
- NPI 1114918067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319328000000",
"number": "1629266374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "995 WILLAGILLESPIE RD",
"address_2": "STE 200",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012170",
"telephone_number": "541-341-3717",
"fax_number": "541-302-8107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 WILLAGILLESPIE RD",
"address_2": "STE 200",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012170",
"telephone_number": "541-341-3717",
"fax_number": "541-302-8107"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID S MILLER MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-09",
"last_updated": "2011-10-23",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "541-341-3717",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "OR",
"license": "MD12022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013532",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pediatric Care Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.