Organization Active NPI

David S Miller MD

  • Pediatrics Physician
  • Eugene, OR
National Provider Identifier
1629266374
Registry record updated Oct 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD12022 Issued in OR
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

Updated by the provider on Oct 23, 2011

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

Authorized official

Name
Dr. David S Miller, MDNPI 1114918067
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
013532MedicaidOR

Other names 1

  • Pediatric Care Associates Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.