Organization Active NPI

Sandra Miller MD, LLC

  • Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1790957033
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SANDRA MILLER MD, LLC
Practice address
2123 Auburn Ave
Suite 442
Cincinnati, OH 45219-2906
Phone
(513) 721-8272
NPI assigned
Mar 27, 2008
Last updated
Sep 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Sandra L Miller, MDNPI 1275509911
Title
Ceo
Phone
(513) 721-8272

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
Surgery Physician 208600000X NU Primary
Surgical Critical Care Physician 2086S0102X NU

Addresses

Primary practice location

2123 Auburn Ave
Suite 442
Cincinnati, OH 45219-2906

Mailing address

PO Box 643865
Cincinnati, OH 45264-3865
Phone (513) 721-8272

Other identifiers 1

IdentifierTypeStateIssuer
2851945MedicaidOH

National Provider Directory

National Provider Directory

Locations

2123 Auburn Ave
Ste 442
Cincinnati, OH 45219
Phone (513) 271-8272

7502 State Rd
Ste 1100
Cincinnati, OH 45255
Phone (513) 624-4953

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": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1790957033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643865",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452643865",
            "telephone_number": "513-721-8272",
            "fax_number": "513-721-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE",
            "address_2": "SUITE 442",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-721-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA MILLER MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-721-8272",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2851945",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.