Roger W Miller, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

MD24790 Issued in OR

Practice address

2095 Exchange St
Suite #201
Astoria, OR 97103-3417

Phone

(503) 338-4455

Fax

(503) 338-4837

NPI assigned

Jun 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1780688523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 EXCHANGE ST",
            "address_2": "SUITE #201",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033417",
            "telephone_number": "503-338-4455",
            "fax_number": "503-338-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 EXCHANGE ST",
            "address_2": "SUITE #201",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033417",
            "telephone_number": "503-338-4455",
            "fax_number": "503-338-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ROGER",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OR",
            "license": "MD24790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1119841",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233147",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michel R Meiffren, MA, MAC, CADC I
• Sharon Marie Menapace
• Anne Merila
• Carolyn A Merten, MD
• Charity Elaine Miller
• Marie A Mitchum
• Anniken Moe
• Bonnie J Moeller, D.D.S.
• Mari Montesano, LCSW
• Monument Physiatry, PC

• Otolaryngology Physician in Astoria, OR
• Providers in Astoria, OR by specialty
• Otolaryngology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.