Joseph K Miner, MD

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

161096-1205 Issued in UT

Practice address

151 S University Ave
Suite 2800
Provo, UT 84601-4427

Phone

(801) 851-7011

Fax

(801) 851-7536

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• State of Utah

  dba Utah State Hospital

  • Psychiatric Hospital
  • Provo, UT
  • NPI 1811978620
  Medicare reassignment NPD
• Utah County

  dba Utah County BYB

  • Public Health or Welfare Agency
  • Provo, UT
  • NPI 1225109036
  Authorized official Same address or phone
• Utah County Government

  dba Utah County Health Dept.

  • Public Health or Welfare Agency
  • Provo, UT
  • NPI 1891865010
  NPD (past) Authorized official
• Health Clinics of Utah

  • Medical Physician Assistant
  • Ogden, UT
  • NPI 1225193584
  NPD
• Health Clinics of Utah

  • State or Local Public Health Clinic/Center
  • Provo, UT
  • NPI 1982669982
  NPD
• Health Clinics of Utah-SLC

  • Family Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1871654459
  NPD
• Utah County Government

  dba Utah County Health Promotion

  • Health Educator
  • Provo, UT
  • NPI 1326707456
  NPD (past)
• Wasatch Behavioral Health Special Service District

  • Clinical Medical Laboratory
  • Orem, UT
  • NPI 1669257556
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881652980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 S UNIVERSITY AVE",
            "address_2": "SUITE 2800",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846014427",
            "telephone_number": "801-851-7011",
            "fax_number": "801-851-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S UNIVERSITY AVE",
            "address_2": "SUITE 2800",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846014427",
            "telephone_number": "801-851-7011",
            "fax_number": "801-851-7536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "JOSEPH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "UT",
            "license": "161096-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "QM0000039389",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH PROVIDER",
            "identifier": "103003506102",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7565",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876112298013",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05664",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "55102",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "73-00012",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PR00489",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gordon Dale Mills Jr., NP
• Patricia Jeanette Mills, LCSW
• Brittany Millwee
• Hugo Milne-Home
• Abigail Miner
• Sadie Miner
• Michelle Minert, LCSW
• Kelsie Minga
• Andrew Minnix, SSW
• Stephen Dennis Minton, MD

• Public Health & General Preventive Medicine Physician in Provo, UT
• Providers in Provo, UT by specialty
• Public Health & General Preventive Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.