Miller Urogynecology, SC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

042619085 Issued in IL

Legal business name

MILLER UROGYNECOLOGY, SC

Practice address

107 N Regency Dr
Suite 2
Bloomington, IL 61701-3515

Phone

(309) 665-0900

NPI assigned

Aug 13, 2007

Organization subpart

No

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

Authorized official

Name

Jay-James Miller

Title

Medical Director

Phone

(309) 665-0900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1321/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jay James Miller, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Bloomington, IL
  • NPI 1003915968
  Medicare reassignment NPD
• Summer Alyssa Hinthorne, APN, WHNP

  • Women's Health Nurse Practitioner
  • Normal, IL
  • NPI 1831416189
  NPD (past)

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1801088067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N REGENCY DR",
            "address_2": "SUITE 2",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013515",
            "telephone_number": "309-665-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N REGENCY DR",
            "address_2": "SUITE 2",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013515",
            "telephone_number": "309-665-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER UROGYNECOLOGY, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JAY-JAMES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "309-665-0900"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "042619085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Center for Sleep Medicine, LLC
• Midwest Chiropractic Center P.C.
• Midwest Neuromonitoring, Inc.
• Shaniqua Miles, LCSW
• Millennium Pain Center LLC
• Chelsie Lynn Miller
• Cheri L. Miller, PSY.D.
• Corie Ann Miller, LMT
• Emily Ann Miller, M.S., ATC, CSCS
• Erica Lynn Miller, OTR/L

• Obstetrics & Gynecology Physician in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.