Active NPI
William D Miller, MD
- Family Medicine Physician
- Columbia, MO
National Provider Identifier
1699704916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R2A82
- Practice address
- 305 Keene St
Ste. 203
Columbia, MO 65201-6897 - Phone
- (573) 882-8000
- Fax
- (573) 882-6600
- NPI assigned
- Jun 30, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R2A82 | MO | Primary |
Addresses
Primary practice location
305 Keene St
Ste. 203
Columbia, MO 65201-6897
Mailing address
PO Box 7687
Columbia, MO 65205-7687
Phone (573) 882-2259
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208688 | Other | MO | BLUE CHOICE |
| 193109 | Other | MO | HEALTHLINK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hermann Area Hospital District | Current | Accepting new patients | |
| Hermann Area Hospital District | Family Medicine | Current | Accepting new patients |
| Hospitalmd of Troy, Inc. | Past | Accepting new patients | |
| Hospitalmd of Troy Ip, Inc. | Past | Accepting new patients | |
| Missouri Em-I Medical Services PC | Past | Accepting new patients |
Locations
509 W 18th St
Hermann, MO 65041
Phone (573) 486-2045
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/f62890b5-77ff-44bd-a981-0a0981047b35/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Hermann Area District Hospital
- Family Medicine Physician
- Hermann, MO
- NPI 1083749188
-
dba Hermann Area District Hospital
- Medicare Defined Swing Bed Hospital Unit
- Hermann, MO
- NPI 1679648661
-
- Hospitalist Physician
- Troy, MO
- NPI 1548582778
-
- Emergency Medical Services (Emergency Medicine) Physician
- Troy, MO
- NPI 1558683789
-
- Emergency Medicine Physician
- Fulton, MO
- NPI 1407243132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206316800000",
"number": "1699704916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7687",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652057687",
"telephone_number": "573-882-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 KEENE ST",
"address_2": "STE. 203",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652016897",
"telephone_number": "573-882-8000",
"fax_number": "573-882-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "WILLIAM",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2008-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "R2A82",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "208688",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "193109",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.