Gladys Ann Miller, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

016857 Issued in LA

Practice address

4150 Nelson Road
Building E Suite 3
Lake Charles, LA 70605-4116

Phone

(337) 475-9995

Fax

(337) 475-9975

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1912019696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 NELSON ROAD",
            "address_2": "BUILDING E SUITE 3",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054116",
            "telephone_number": "337-475-9995",
            "fax_number": "337-475-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 NELSON ROAD",
            "address_2": "BUILDING E SUITE 3",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054116",
            "telephone_number": "337-475-9995",
            "fax_number": "337-475-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GLADYS",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "016857",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "028606",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1364282",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Broden Joseph Miller, DDS
• Debra Miller
• Dennis Wade Miller, MD
• Dwaine Miller, PT
• George L Miller III, M.D.
• Julie Miller, LCSW
• Keith Miller, LPC
• Kelcie Freyou Miller, APRN
• Lafaith Chivonne Miller, D.M.D
• Lee Martin Miller, M.D.

• Obstetrics & Gynecology Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Obstetrics & Gynecology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.