Individual provider Active NPI

Lillian G Miller, MD

  • Obstetrics & Gynecology Physician
  • Toledo, OH
National Provider Identifier
1740289495
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35063653 Issued in OH
Practice address
3740 W Sylvania Ave
Suite 103
Toledo, OH 43623-4461
Phone
(419) 473-6622
Fax
(419) 473-6627
NPI assigned
Jul 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35063653 OH Primary

Addresses

Primary practice location

3740 W Sylvania Ave
Suite 103
Toledo, OH 43623-4461

Mailing address

3740 W Sylvania Ave
Suite 103
Toledo, OH 43623-4461
Phone (419) 473-6622

Other identifiers 6

IdentifierTypeStateIssuer
000000343846OtherOHANTHEM
02888OtherOHPARAMOUNT
160055508OtherOHRRMC
12-85575OtherOHUHC
0910241MedicaidOH
4619605OtherOHAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lillian.miller.p2@direct.whc.nextgenshare.com

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

State licenses

LicenseStateTypeSpecialty
35063653OHMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1740289495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 W SYLVANIA AVE",
            "address_2": "SUITE 103",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234461",
            "telephone_number": "419-473-6622",
            "fax_number": "419-473-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 W SYLVANIA AVE",
            "address_2": "SUITE 103",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234461",
            "telephone_number": "419-473-6622",
            "fax_number": "419-473-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LILLIAN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35063653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000343846",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "02888",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "160055508",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "12-85575",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0910241",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4619605",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lillian.miller.p2@direct.whc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1214 Ridgewood Dr",
            "city": "Bowling Green",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434022664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.