Individual provider Active NPI

Marsha Maxine Miller, M.D.

  • Family Medicine Physician
  • Providence, RI
National Provider Identifier
1679647432
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7396 Issued in RI
Practice address
Brown University Health Services
Brown University, 13 Brown Street
Providence, RI 02912-0001
Phone
(401) 863-9535
Fax
(401) 863-7953
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7396 RI Primary

Addresses

Primary practice location

Brown University Health Services
Brown University, 13 Brown Street
Providence, RI 02912-0001

Mailing address

17 Edgehill Rd
Providence, RI 02906-2712
Phone (401) 863-9535

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7396RIMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679647432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 EDGEHILL RD",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062712",
            "telephone_number": "401-863-9535",
            "fax_number": "401-863-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BROWN UNIVERSITY HEALTH SERVICES",
            "address_2": "BROWN UNIVERSITY, 13 BROWN STREET",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029120001",
            "telephone_number": "401-863-9535",
            "fax_number": "401-863-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARSHA",
        "middle_name": "MAXINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "7396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.