Organization Active NPI

Stephen B. Miller

  • Plastic Surgery Physician
  • Huntington, WV
National Provider Identifier
1942384995
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
STEPHEN B. MILLER
Practice address
5187 US Route 60 E
Suite # 9
Huntington, WV 25705-2076
Phone
(304) 399-2222
Fax
(304) 399-2223
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Authorized official

Name
Stephen B Miller, M.D.
Title
Owner
Phone
(304) 399-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

5187 US Route 60 E
Suite # 9
Huntington, WV 25705-2076

Mailing address

5187 US Route 60 E
Suite # 9
Huntington, WV 25705-2076
Phone (304) 399-2222

Other identifiers 7

IdentifierTypeStateIssuer
001722820OtherWVBCBS
1057260OtherWVBRICKSTREET W/C
279747261-00OtherOHOHIO WORKERS COMPENSTATIO
06-6033492OtherWVAETNA
1000263000MedicaidWV
240007609OtherRAILROAD MEDICARE
3810015078OtherWVWV MEDICAID GROUP ID

Other names 1

  • Cosmetic & Reconstructive Plastic Surgery, PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

5897 County Road 107
Proctorville, OH 45669
Phone (304) 399-2222

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1942384995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5187 US ROUTE 60 E",
            "address_2": "SUITE # 9",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052076",
            "telephone_number": "304-399-2222",
            "fax_number": "304-399-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5187 US ROUTE 60 E",
            "address_2": "SUITE # 9",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052076",
            "telephone_number": "304-399-2222",
            "fax_number": "304-399-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN B. MILLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-399-2222",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001722820",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRICKSTREET W/C",
            "identifier": "1057260",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO WORKERS COMPENSTATIO",
            "identifier": "279747261-00",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "06-6033492",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000263000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "240007609",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV MEDICAID GROUP ID",
            "identifier": "3810015078",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cosmetic & Reconstructive Plastic Surgery, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.