David Sewall Miller Jr., MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

103625 Issued in NY

Practice address

25 Rochester St
Scottsville, NY 14546-1333

Phone

(585) 889-7065

NPI assigned

Feb 26, 2009

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1790925022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 154",
            "city": "SCOTTSVILLE",
            "state": "NY",
            "postal_code": "145460154",
            "telephone_number": "585-889-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ROCHESTER ST",
            "city": "SCOTTSVILLE",
            "state": "NY",
            "postal_code": "145461333",
            "telephone_number": "585-889-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DAVID",
        "middle_name": "SEWALL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "103625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE NUMBER",
            "identifier": "103625",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Intra-National Pharmacy Rochester LLC
• Robin M Knox, RN
• Nicole Konadu
• Marsha Louise Lane, NURSE
• Ciera Deanna McFadden, LPN
• Caitlin O'Neil
• Tracy Pasquantonio, LCSW
• Melissa Pernesky
• Tyshai Powell, LPN
• Portia M Read, LPN

• Orthopaedic Surgery Physician in Scottsville, NY
• Providers in Scottsville, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.