Organization Active NPI

Miller Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Belpre, OH
National Provider Identifier
1629446091
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
LPO074 Issued in OH
Legal business name
MILLER PROSTHETICS & ORTHOTICS
Practice address
2354 Richmiller LN
Belpre, OH 45714-1052
Phone
(740) 421-4211
Fax
(888) 972-5171
NPI assigned
Sep 2, 2015
Last updated
Nov 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Authorized official

Name
Mark Miller, CPO
Title
Owner
Phone
(304) 699-2373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X LPO074 OH Primary

Addresses

Primary practice location

2354 Richmiller LN
Belpre, OH 45714-1052

Mailing address

2354 Richmiller Lane
Belpre, OH 45714-1066
Phone (740) 421-4211

Other identifiers 1

IdentifierTypeStateIssuer
0148991MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151026001674 OH DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 6406097328 Practice locations: Belpre, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Miller Prosthetics & Orthotics2354 Richmiller LN, Belpre, OH 45714-1052(740) 421-4211 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Apr 19, 2013

National Provider Directory

National Provider Directory
Tax ID family
Miller Prosthetics Orthotics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2311 Ohio Ave
Ste B
Parkersburg, WV 26101
Phone (304) 699-2373

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1629446091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2354 RICHMILLER LANE",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457141066",
            "telephone_number": "740-421-4211",
            "fax_number": "888-972-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2354 RICHMILLER LN",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457141052",
            "telephone_number": "740-421-4211",
            "fax_number": "888-972-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER PROSTHETICS & ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-699-2373",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "LPO074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0148991",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belpre, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.