Active NPI
Russell A Miller, M.D.
- Pediatrics Physician
- Parkersburg, WV
National Provider Identifier
1649236803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 11177
- Practice address
- 1900C Garfield Ave
Parkersburg, WV 26101-2525 - Phone
- (304) 422-6682
- NPI assigned
- Apr 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 11177 | WV | Primary |
Addresses
Primary practice location
1900C Garfield Ave
Parkersburg, WV 26101-2525
Mailing address
1900C Garfield Ave
Parkersburg, WV 26101-2525
Phone (304) 422-6682
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03386676 | Medicaid | OH | |
| 0110781000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160713000145 | WV | Order and Referring Only - Pediatric Medicine | 5991097818 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1649236803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900C GARFIELD AVE",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261012525",
"telephone_number": "304-422-6682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900C GARFIELD AVE",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261012525",
"telephone_number": "304-422-6682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "RUSSELL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WV",
"license": "11177",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03386676",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0110781000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Parkersburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.