NPIMap

Organization Active NPI

Stephen Michael Miller DO

Doing business as Miller Family Practice

  • Family Medicine Physician
  • Peterstown, WV
National Provider Identifier
1780609107
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
STEPHEN MICHAEL MILLER DO
Doing business as
Miller Family Practice
Practice address
3921 Seneca Trail South
Peterstown, WV 24963
Phone
(304) 753-9100
Fax
(304) 753-9353
NPI assigned
Jul 13, 2006
Last updated
Sep 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Authorized official

Name
Stephen Michael Miller, D.ONPI 1871519660
Title
Owner
Phone
(304) 753-9100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Rural Health Clinic/Center 261QR1300X NU

Addresses

Primary practice location

3921 Seneca Trail South
Peterstown, WV 24963

Mailing address

PO Box 430
Peterstown, WV 24963-0430
Phone (304) 753-9100

Other names 1

  • Miller Family Practice Doing business as

National Provider Directory

National Provider Directory

Locations

3921 Seneca Trl S
Peterstown, WV 24963
Phone (304) 753-9100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1780609107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "PETERSTOWN",
            "state": "WV",
            "postal_code": "249630430",
            "telephone_number": "304-753-9100",
            "fax_number": "304-753-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 SENECA TRAIL SOUTH",
            "city": "PETERSTOWN",
            "state": "WV",
            "postal_code": "24963",
            "telephone_number": "304-753-9100",
            "fax_number": "304-753-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN MICHAEL MILLER DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-753-9100",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peterstown, WV

Sources for this page

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

Verify at the official NPI Registry.