Stephen a. Miller,D.O.,P.a.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

0521872 Issued in KS

Legal business name

STEPHEN A. MILLER,D.O.,P.A.

Practice address

1717 W 8TH St
Coffeyville, KS 67337-3101

Phone

(620) 251-0777

Fax

(620) 251-4173

NPI assigned

Apr 26, 2012

Organization subpart

No

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

Authorized official

Name

Stephen Alan Miller, D.O.

Title

Owner

Phone

(620) 251-0777

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1891053922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 WEST 8TH",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373101",
            "telephone_number": "620-251-0777",
            "fax_number": "620-251-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W 8TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373101",
            "telephone_number": "620-251-0777",
            "fax_number": "620-251-4173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A. MILLER,D.O.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-251-0777",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "KS",
            "license": "0521872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100206010B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Coffeyville, KS
• Providers in Coffeyville, KS by specialty
• Exclusive Provider Organization in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.