Active NPI
Joel Cosby Miller, DO
- Emergency Medicine Physician
- Sun City Center, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- FJ1355711
- Practice address
- 4016 Sun City Center Blvd
Sun City Center, FL 33573-5256 - Phone
- (813) 634-3301
- NPI assigned
- Mar 31, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | FL | ||
| Emergency Medicine Physician | 207P00000X | FJ1355711 | FL | Primary |
Addresses
Primary practice location
4016 Sun City Center Blvd
Sun City Center, FL 33573-5256
Mailing address
11375 Cortez Blvd
Brooksville, FL 34613-5409
Phone (352) 592-2757
Other practice location 1
11375 Cortez Blvd
Brooksville, FL 34613-5409
Phone (352) 592-2755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thryve Medical | Current | Accepting new patients | |
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Primary Care Clinic/Center
- St Petersburg, FL
- NPI 1497699359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653696000000",
"number": "1821559857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11375 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135409",
"telephone_number": "352-592-2757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4016 SUN CITY CENTER BLVD",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335735256",
"telephone_number": "813-634-3301"
}
],
"practiceLocations": [
{
"address_1": "11375 Cortez Blvd",
"address_purpose": "LOCATION",
"city": "Brooksville",
"state": "FL",
"postal_code": "346135409",
"country_code": "US",
"telephone_number": "352-592-2755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "JOEL",
"middle_name": "COSBY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-31",
"last_updated": "2022-05-28",
"certification_date": "2022-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "FJ1355711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City Center, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.