Lynn E Miller, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301038818 Issued in MI

Practice address

580 W College Ave
Marquette, MI 49855-2705

Phone

(906) 225-3985

Fax

(906) 225-4562

NPI assigned

Nov 29, 2005

Last updated

Nov 1, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Copper Country Community Mental Health Services Board

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houghton, MI
  • NPI 1881607497
  Medicare reassignment NPD
• DLP Marquette Physician Practices Inc

  dba Marquette General Family Medicine - Marquette

  • Obesity Medicine (Internal Medicine) Physician
  • Marquette, MI
  • NPI 1487902995
  Medicare reassignment NPD
• Pathways

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marquette, MI
  • NPI 1487683546
  Medicare reassignment
• Copper Country Community Mental Health Services Board

  • Community/Behavioral Health Agency
  • Ontonagon, MI
  • NPI 1780871137
  NPD
• DLP Marquette Physician Practices Inc

  dba UP Health System Pediatric Specialists

  • Rural Health Clinic/Center
  • Marquette, MI
  • NPI 1205635760
  NPD
• DLP Marquette Physician Practices Inc

  dba Marquette General Behavioral Health

  • Counselor
  • Marquette, MI
  • NPI 1730437245
  NPD
• Marquette General Hospital, Inc.

  dba Behavioral Health Services

  • Clinical Social Worker
  • Marquette, MI
  • NPI 1710941935

  Psychiatry

  NPD
• Hiawatha Community Mental Health Authority

  dba Hiawatha Behavioral Health

  • Community/Behavioral Health Agency
  • Saint Ignace, MI
  • NPI 1457529505
  NPD (past)

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1659354298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498550220",
            "telephone_number": "906-225-3985",
            "fax_number": "906-225-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 W COLLEGE AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552705",
            "telephone_number": "906-225-3985",
            "fax_number": "906-225-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LYNN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301038818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260021002",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2587107",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cecily Milkie, LPN
• Mill Creek Memory Care Community
• Brian G Miller, P.T., O.C.S.
• Bruce David Miller
• Emily Joy Miller, MSW
• Mindy Sue Miller, MSW CSW
• Ryan Jacob Miller
• Samantha Lynne Miller
• Todd Miller Jr., PA-C
• Tia Lavelle Mills, NP

• Psychiatry Physician in Marquette, MI
• Providers in Marquette, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.

Verify at the official NPI Registry.