Active NPI
Scott A. Miller, M.D.
- Ophthalmology Physician
- Fort Wayne, IN
National Provider Identifier
1740287671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 01029512A
- Practice address
- 7232 Engle Rd
Fort Wayne, IN 46804-2222 - Phone
- (260) 436-7205
- Fax
- (260) 432-1339
- NPI assigned
- Jul 7, 2005
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 01029512A | IN | Primary |
Addresses
Primary practice location
7232 Engle Rd
Fort Wayne, IN 46804-2222
Mailing address
7232 Engle Rd
Fort Wayne, IN 46804-2222
Phone (260) 436-7205
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100318790 | Medicaid | IN | |
| 180001660 | Other | IN | RR MEDICARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260316800000",
"number": "1740287671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7232 ENGLE RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468042222",
"telephone_number": "260-436-7205",
"fax_number": "260-432-1339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7232 ENGLE RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468042222",
"telephone_number": "260-436-7205",
"fax_number": "260-432-1339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SCOTT",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2009-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IN",
"license": "01029512A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100318790",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "180001660",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.