NPIMap

Individual provider Active NPI

Jon M Miller, DO

  • General Practice Physician
  • Logan, WV
National Provider Identifier
1841245339
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
1298 Issued in WV
Practice address
140 Stollings Ave Ste 3
Logan, WV 25601-4035
Phone
(304) 752-4594
Fax
(304) 752-5629
NPI assigned
May 23, 2006
Last updated
Jan 31, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 1298 WV Primary

Addresses

Primary practice location

140 Stollings Ave Ste 3
Logan, WV 25601-4035

Mailing address

140 Stollings Ave Ste 3
Logan, WV 25601-4035
Phone (304) 752-4594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051022000309 WV Practitioner - General PracticePractitioner - Emergency Medicine 5890711519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
West Virginia School of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

140 Stollings Ave
Suite 3
Logan, WV 25601-4035
Phone (304) 752-4594

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1298WVMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Habits Wellness Ctr, Inc General Practice CurrentSince Aug 1, 2005 Accepting new patients
Healthy Habits Wellness Center Lab Past Accepting new patients
Elm Emergency Group PLLC Past Accepting new patients
National Emergency Services West Virginia Inc Past Accepting new patients

Locations

258 Hanging Rock Hwy
Ste 3
Logan, WV 25601
Phone (304) 752-4594

Interoperability endpoints

  • Direct secure messaging: jmiller@healthyhabits.gwaydirect.com
  • Direct secure messaging: jon.miller@hhwc.directbygreenway.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1841245339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 STOLLINGS AVE STE 3",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256014035",
            "telephone_number": "304-752-4594",
            "fax_number": "304-752-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 STOLLINGS AVE STE 3",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256014035",
            "telephone_number": "304-752-4594",
            "fax_number": "304-752-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JON",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WV",
            "license": "1298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, WV

Sources for this page

Verify at the official NPI Registry.