NPIMap

Individual provider Active NPI

Jon Miller, M.D.

  • Family Medicine Physician
  • Whitefish, MT
National Provider Identifier
1841267192
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9568 Issued in MT
Practice address
1111 Baker Ave
Glacier Medical Associates
Whitefish, MT 59937-2901
Phone
(406) 862-2515
Fax
(406) 862-4229
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9568 MT Primary

Addresses

Primary practice location

1111 Baker Ave
Glacier Medical Associates
Whitefish, MT 59937-2901

Mailing address

1111 Baker Ave
Glacier Medical Associates
Whitefish, MT 59937-2901
Phone (406) 862-2515

Other identifiers 13

IdentifierTypeStateIssuer
0000095270OtherMTBCBS ER PHYS GROUP
27D0411341OtherMTCLIA ID#--LAB CERT
080161691OtherMTRAILROAD MEDICARE PIN#
1104882232OtherMTGLACIER MEDICAL ASSOC NPI
0000095390OtherMTNVH-OB PHYS GROUP
0027098MedicaidMT
00355628MedicaidMT
810350909OtherMTFEIN
000008287OtherMTMEDICARE PART B GRP ID#
000091751OtherBLUE CROSS/SHIELD PIN
0033660MedicaidMT
9568OtherMTMONTANA STATE LICENSE
CI2709OtherMTRAILROAD MEDICARE GRP ID#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20100120000214 MT Practitioner - Emergency MedicinePractitioner - Family Practice 1557345733 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of Colorado School of Medicine, Denver, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glacier Medical AssociatesGroup PAC ID 7911981188, 23 clinicians

Practice addresses (Care Compare)

1111 Baker Ave
Whitefish, MT 59937-2901
Phone (406) 862-2515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
58.05 of 100Reported as apm
Quality
70.8
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions22
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9568MTMDOrthopedic Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Glacier Medical Associates Family Medicine Current Accepting new patients
Emergency Physicians Integrated Care, LLC CurrentSince Jun 7, 2014 Accepting new patients
Glacier Medical Associates Family Medicine CurrentSince Aug 14, 2000 Accepting new patients
Logan Health - Whitefish Past Accepting new patients

Locations

500 12th Ave W
Columbia Falls, MT 59912
Phone (406) 862-2515

500 12th Ave W
Ste 1B
Columbia Fls, MT 59912

2310 US Highway 2 E
Ste 4
Kalispell, MT 59901
Phone (406) 862-2515

1111 Baker Ave
Uppr
Whitefish, MT 59937
Phone (406) 407-7990

1600 Hospital Way
Whitefish, MT 59937
Phone (406) 863-3500

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1841267192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 BAKER AVE",
            "address_2": "GLACIER MEDICAL ASSOCIATES",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372901",
            "telephone_number": "406-862-2515",
            "fax_number": "406-862-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BAKER AVE",
            "address_2": "GLACIER MEDICAL ASSOCIATES",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372901",
            "telephone_number": "406-862-2515",
            "fax_number": "406-862-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "9568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ER PHYS GROUP",
            "identifier": "0000095270",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID#--LAB CERT",
            "identifier": "27D0411341",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN#",
            "identifier": "080161691",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GLACIER MEDICAL ASSOC NPI",
            "identifier": "1104882232",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVH-OB PHYS GROUP",
            "identifier": "0000095390",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0027098",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355628",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN",
            "identifier": "810350909",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B GRP ID#",
            "identifier": "000008287",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD PIN",
            "identifier": "000091751",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0033660",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA STATE LICENSE",
            "identifier": "9568",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GRP ID#",
            "identifier": "CI2709",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish, MT

Sources for this page

Verify at the official NPI Registry.