Active NPI
John Winston Miller, MD
- Emergency Medicine Physician
- Pineville, LA
National Provider Identifier
1679589006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 12097R
- Practice address
- 352 Hospial Boulevard
Pineville, LA 71361-5352 - Phone
- (318) 448-0811
- Fax
- (318) 473-6395
- NPI assigned
- Jul 31, 2006
- Last updated
- Jul 10, 2009
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 12097R | LA | Primary |
Addresses
Primary practice location
352 Hospial Boulevard
Pineville, LA 71361-5352
Mailing address
3223 8TH St
Metairie, LA 70002-1623
Phone (504) 833-7770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1694789 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nesom Family Clinic | Past | Accepting new patients | |
| Baton Rouge General Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba BRG Comprehensive Care Center
- Gastroenterology Physician
- Baton Rouge, LA
- NPI 1407346984
-
- Family Medicine Physician
- Oakdale, LA
- NPI 1023115250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247184000000",
"number": "1679589006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3223 8TH ST",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700021623",
"telephone_number": "504-833-7770",
"fax_number": "504-833-7782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 HOSPIAL BOULEVARD",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713615352",
"telephone_number": "318-448-0811",
"fax_number": "318-473-6395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JOHN",
"middle_name": "WINSTON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2009-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "12097R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1694789",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pineville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.