Active NPI
Lauren Dean Henning Miller, D.O.
- Pediatric Adolescent Medicine Physician
- Bel Air, MD
National Provider Identifier
1932307535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- H0065793
- Practice address
- 604 Hoagie Dr
Bel Air, MD 21014-1884 - Phone
- (410) 893-4844
- Fax
- (410) 893-4927
- NPI assigned
- Jul 5, 2007
- Last updated
- Sep 30, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | H0065793 | MD | Primary |
Addresses
Primary practice location
604 Hoagie Dr
Bel Air, MD 21014-1884
Mailing address
604 Hoagie Dr
Bel Air, MD 21014-1884
Phone (410) 893-4844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H0065793 | Other | MD | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| L & W Pediatrics PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1932307535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 HOAGIE DR",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210141884",
"telephone_number": "410-893-4844",
"fax_number": "410-893-4927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 HOAGIE DR",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210141884",
"telephone_number": "410-893-4844",
"fax_number": "410-893-4927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LAUREN",
"middle_name": "DEAN HENNING",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-05",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "MD",
"license": "H0065793",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "H0065793",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.