Active NPI
William G. Miller, D.O.
- Forensic Psychiatry Physician
- Gallipolis, OH
National Provider Identifier
1841412418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- 34010148
- Practice address
- 90 Jackson Pike
Gallipolis, OH 45631-1560 - Phone
- (855) 446-5937
- Fax
- (740) 446-5486
- NPI assigned
- May 3, 2007
- 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 |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | 34010148 | OH | Primary |
| Forensic Psychiatry Physician | 2084F0202X | 5101017874 | MI |
Addresses
Primary practice location
90 Jackson Pike
Gallipolis, OH 45631-1560
Mailing address
90 Jackson Pike
Gallipolis, OH 45631-1560
Phone (855) 446-5937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0050127 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Hospital Dr
Athens, OH 45701-2301
Phone (614) 752-0333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34010148 | OH | MD | Forensic Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Ohio Office of Budget and Management State Accounting | Current | Accepting new patients | |
| State of Ohio Office of Budget and Management State Accounting | Current | Accepting new patients | |
| State of Ohio Office of Budget and Management State Accounting | Current | Accepting new patients | |
| Greater Cincinnati Behavioral Health Services | Past | Accepting new patients |
Locations
100 Hospital Dr
Athens, OH 45701
Phone (740) 589-4136
30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930
Interoperability endpoints
- wmiller24316@mhas.direct-ci.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 and National Provider Directory roles.
-
- Psychiatric Hospital
- Cincinnati, OH
- NPI 1023082716
-
- Psychiatric Hospital
- Athens, OH
- NPI 1063486058
-
- Nursing Facility/Intermediate Care Facility
- Sandusky, OH
- NPI 1790732576
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Walnut Hills, OH
- NPI 1588626097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422921600000",
"number": "1841412418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 JACKSON PIKE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311560",
"telephone_number": "855-446-5937",
"fax_number": "740-446-5486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 JACKSON PIKE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311560",
"telephone_number": "855-446-5937",
"fax_number": "740-446-5486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "WILLIAM",
"middle_name": "G.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2015-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "OH",
"license": "34010148",
"primary": true
},
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "MI",
"license": "5101017874",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0050127",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gallipolis, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.
- 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.